PATRICIA ANNE WILSON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****02

License Status

INOPERATIVE

Business

First Name

PATRICIA

Middle

ANNE

Last Name

WILSON

Business Name

PATRICIA ANNE WILSON

Original Issue Date

02/14/2018

Effective Date

02/14/2018

Expiration Date

03/01/2020

City

JOLIET

State

Zip

60435

Ever Disciplined

LastModifiedDate

12/18/2019