RIO C MCWILLIAMS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004219

License Status

NOT RENEWED

Business

First Name

RIO

Middle

Last Name

MCWILLIAMS

Business Name

RIO C MCWILLIAMS

Original Issue Date

10/19/2011

Effective Date

03/01/2012

Expiration Date

03/01/2014

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

04/08/2014