ALAN SCOTT WILSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

SCOTT

Last Name

WILSON

Business Name

ALAN SCOTT WILSON

Original Issue Date

10/06/2009

Effective Date

01/31/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

12/08/2015