PHILLIP E STILES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002819

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

STILES

Business Name

PHILLIP E STILES

Original Issue Date

09/14/2006

Effective Date

01/09/2012

Expiration Date

03/01/2014

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

11/17/2015