CHARLA A HAGEL - Physician Assistant License in Illinois | # 085001559

CHARLA A HAGEL

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001559

License Status

INACTIVE

Business

N

First Name

CHARLA

Middle

A

Last Name

HAGEL

Business Name

CHARLA A HAGEL

Original Issue Date

02/07/2001

Effective Date

02/26/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

12/07/2011