KRISTIN LEIGH WILLIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002954

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

LEIGH

Last Name

WILLIS

Business Name

KRISTIN LEIGH WILLIS

Original Issue Date

03/27/2007

Effective Date

04/14/2025

Expiration Date

03/01/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/03/2025