CHARLES WILLIAM DOWELL - Physician Assistant License in Illinois | # 085002254

CHARLES WILLIAM DOWELL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002254

License Status

NOT RENEWED

Business

N

First Name

CHARLES

Middle

WILLIAM

Last Name

DOWELL

Business Name

CHARLES WILLIAM DOWELL

Original Issue Date

07/01/2004

Effective Date

02/25/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022