JOEL STEVEN WILLIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003550

License Status

NOT RENEWED

Business

First Name

JOEL

Middle

STEVEN

Last Name

WILLIS

Business Name

JOEL STEVEN WILLIS

Original Issue Date

08/27/2009

Effective Date

02/01/2012

Expiration Date

03/01/2014

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

12/08/2015