WILLIAM ROBERT MATHIAS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004666

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

ROBERT

Last Name

MATHIAS

Business Name

WILLIAM ROBERT MATHIAS

Original Issue Date

05/23/2013

Effective Date

01/21/2014

Expiration Date

03/01/2016

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016