PATRICIA DANIELLE WALSH Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

INOPERATIVE

Business

First Name

PATRICIA

Middle

DANIELLE

Last Name

WALSH

Business Name

PATRICIA DANIELLE WALSH

Original Issue Date

10/26/2019

Effective Date

02/12/2020

Expiration Date

03/01/2022

City

LAKE BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

01/03/2022