DOUGLAS ALAN WILLAMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003064

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

ALAN

Last Name

WILLAMAN

Business Name

DOUGLAS ALAN WILLAMAN

Original Issue Date

09/24/2007

Effective Date

12/06/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2025