MICHELLE ALISE GARDNER-WOOD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006229

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

ALISE

Last Name

GARDNER-WOOD

Business Name

MICHELLE ALISE GARDNER-WOOD

Original Issue Date

07/07/2017

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

12/03/2025