Physician Assistant Board

Licensing details for: 14193

Name: WILSON, DEAN JR

License Type: Physician Assistant

Primary Status: License Canceled Primary Status Definition

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

School Name: HOWARD UNIVERSITY

Graduation Year: 1994

Address of Record

7400 HOLLYWOOD BLVD., #620
LOS ANGELES CA 90064
LOS ANGELES county
Map

Issuance Date

October 8, 1997

Expiration Date

April 30, 2001

Current Date / Time

August 17, 2025
11:49:46 PM

Administrative Disciplinary Actions (No Records)

Court Order (No Records)

Misdemeanor Conviction (No Records)

Felony Conviction (No Records)

Malpractice Judgment (No Records)

Probationary License (No Records)

Hospital Disciplinary Action (No Records)

License Issued with Public Letter of Reprimand (No Records)

Administrative Citation Issued (No Records)

Administrative Action Taken by Other State or Federal Government (No Records)

Arbitration Award (No Records)

Documents (No Records)

License/Registration Role: Physician Assistant

Related Party Role: 9501 - PA

Name: WILSON, DEAN JR

License/Registration Type: Physician Assistant

License Number: 19199 Primary Status: License Renewed & Current

Address :
PO Box 98
AGOURA HILLS CA 91376-0098
LOS ANGELES COUNTY