AMY MARIE WILLSON Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002650

License Status

INACTIVE

Business

First Name

AMY

Middle

MARIE

Last Name

WILLSON

Business Name

AMY MARIE WILLSON

Original Issue Date

11/02/2005

Effective Date

02/17/2010

Expiration Date

03/01/2012

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/08/2015