JIMMY L WALKER JR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

NOT RENEWED

Business

First Name

JIMMY

Middle

Last Name

WALKER

Suffix

Business Name

JIMMY L WALKER JR

Original Issue Date

09/07/2005

Effective Date

02/27/2018

Expiration Date

03/01/2020

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020