STACEY ANN WHEELER - Physician Assistant License in Illinois | # 085004653

STACEY ANN WHEELER

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004653

License Status

INACTIVE

Business

N

First Name

STACEY

Middle

ANN

Last Name

WHEELER

Business Name

STACEY ANN WHEELER

Original Issue Date

04/30/2013

Effective Date

02/25/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

03/24/2016