DANIEL SCOTT WILLSEY Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002243

License Status

INACTIVE

Business

First Name

DANIEL

Middle

SCOTT

Last Name

WILLSEY

Business Name

DANIEL SCOTT WILLSEY

Original Issue Date

04/29/2004

Effective Date

12/18/2013

Expiration Date

03/01/2016

City

DAYTON

State

Zip

45410

County

OHIO

Ever Disciplined

LastModifiedDate

01/21/2016