DANIEL SCOTT WILLSEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****33

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

SCOTT

Last Name

WILLSEY

Business Name

DANIEL SCOTT WILLSEY

Original Issue Date

01/13/2005

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

DAYTON

State

Zip

45410

County

OHIO

Ever Disciplined

LastModifiedDate

12/08/2015