CHARLES L MILLBURG - Physician Assistant License in Illinois | # 085000155

CHARLES L MILLBURG

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000155

License Status

NOT RENEWED

Business

N

First Name

CHARLES L

Last Name

MILLBURG

Business Name

CHARLES L MILLBURG

Original Issue Date

01/30/1981

Effective Date

01/30/1981

Expiration Date

01/30/1985

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006