TIMOTHY J WILLIAMS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

WILLIAMS

Business Name

TIMOTHY J WILLIAMS

Original Issue Date

10/30/2001

Effective Date

10/30/2001

Expiration Date

03/01/2008

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/08/2015