CARLIE ANN WILSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

ACTIVE

Business

First Name

CARLIE

Middle

ANN

Last Name

WILSON

Business Name

CARLIE ANN WILSON

Original Issue Date

12/04/2024

Effective Date

01/24/2026

Expiration Date

03/01/2028

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/24/2026