MARTY CRAIG WILSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****09

License Status

ACTIVE

Business

First Name

MARTY

Middle

CRAIG

Last Name

WILSON

Business Name

MARTY CRAIG WILSON

Original Issue Date

01/13/2014

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

02/04/2026