BILLY LEE WALKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****42

License Status

NOT RENEWED

Business

First Name

BILLY

Middle

LEE

Last Name

WALKER

Business Name

BILLY LEE WALKER

Original Issue Date

01/28/2004

Effective Date

01/28/2004

Expiration Date

03/01/2006

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/09/2006