RIO C MCWILLIAMS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****54

License Status

INOPERATIVE

Business

First Name

RIO

Middle

Last Name

MCWILLIAMS

Business Name

RIO C MCWILLIAMS

Original Issue Date

11/08/2011

Effective Date

03/01/2012

Expiration Date

03/01/2014

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

09/26/2012