STACEY ANN WHEELER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004653

License Status

INACTIVE

Business

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

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

03/24/2016