MARTY CRAIG WILSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004959

License Status

ACTIVE

Business

First Name

MARTY

Middle

CRAIG

Last Name

WILSON

Business Name

MARTY CRAIG WILSON

Original Issue Date

12/05/2013

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/04/2026