CAROL J BOSCHERT - Physician Assistant License in Illinois | # 085001745

CAROL J BOSCHERT

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001745

License Status

NOT RENEWED

Business

N

First Name

CAROL

Middle

J

Last Name

BOSCHERT

Business Name

CAROL J BOSCHERT

Original Issue Date

01/02/2002

Effective Date

01/02/2002

Expiration Date

03/01/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006