JANICE SHIGEKO WILSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

NOT RENEWED

Business

First Name

JANICE

Middle

SHIGEKO

Last Name

WILSON

Business Name

JANICE SHIGEKO WILSON

Original Issue Date

03/08/2001

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2018