ANN WALSH Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

INOPERATIVE

Business

First Name

ANN

Last Name

WALSH

Business Name

ANN WALSH

Original Issue Date

03/14/2022

Effective Date

03/14/2022

Expiration Date

03/01/2024

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

12/06/2023