ALAN SCOTT WILSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003512

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

12/08/2015