JOSHUA WILLIFORD Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

INOPERATIVE

Business

First Name

JOSHUA

Last Name

WILLIFORD

Business Name

JOSHUA WILLIFORD

Original Issue Date

11/20/2006

Effective Date

01/10/2014

Expiration Date

03/01/2016

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/08/2015