ANN WALSH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008629

License Status

NOT RENEWED

Business

First Name

ANN

Last Name

WALSH

Business Name

ANN WALSH

Original Issue Date

09/29/2021

Effective Date

02/06/2022

Expiration Date

03/01/2024

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

02/05/2025