DEBRA LYNN WILSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****95

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

LYNN

Last Name

WILSON

Business Name

DEBRA LYNN WILSON

Original Issue Date

03/16/2001

Effective Date

03/16/2001

Expiration Date

03/01/2002

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/08/2015