PATRICIA DANIELLE WALSH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007248

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

DANIELLE

Last Name

WALSH

Business Name

PATRICIA DANIELLE WALSH

Original Issue Date

08/31/2019

Effective Date

02/12/2020

Expiration Date

03/01/2022

City

LAKE BARRINGTON

State

Zip

60010

Ever Disciplined

LastModifiedDate

07/27/2022