STEPHANIE CARROLL WILLIAMS - Physician Assistant License in Illinois | # 085005145

STEPHANIE CARROLL WILLIAMS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005145

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018