ALAN SCOTT WILSON - Physician Assistant License in Illinois | # 085003512

ALAN SCOTT WILSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003512

License Status

NOT RENEWED

Business

N

First Name

ALAN

Middle

SCOTT

Last Name

WILSON

Business Name

ALAN SCOTT WILSON

Original Issue Date

07/16/2009

Effective Date

01/31/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

12/08/2015