STEPHANIE CARROLL WILLIAMS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005145

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

CARROLL

Last Name

WILLIAMS

Business Name

STEPHANIE CARROLL WILLIAMS

Original Issue Date

08/14/2014

Effective Date

02/05/2016

Expiration Date

03/01/2018

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018