JOEL STEVEN WILLIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

NOT RENEWED

Business

First Name

JOEL

Middle

STEVEN

Last Name

WILLIS

Business Name

JOEL STEVEN WILLIS

Original Issue Date

09/22/2009

Effective Date

02/01/2012

Expiration Date

03/01/2014

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

12/08/2015