STACEY ANN WHEELER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****94

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

ANN

Last Name

WHEELER

Business Name

STACEY ANN WHEELER

Original Issue Date

07/16/2013

Effective Date

02/25/2014

Expiration Date

03/01/2016

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

03/24/2016