ERIC DUSTIN WOOD - Physician Assistant License in Illinois | # 085004084

ERIC DUSTIN WOOD

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004084

License Status

NOT RENEWED

Business

N

First Name

ERIC

Middle

DUSTIN

Last Name

WOOD

Business Name

ERIC DUSTIN WOOD

Original Issue Date

07/21/2011

Effective Date

01/31/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

12/24/2015