CHARLES LEWIS KOCK - Physician Assistant License in Louisiana | # 085004435

CHARLES LEWIS KOCK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004435

License Status

NOT RENEWED

Business

N

First Name

CHARLES

Middle

LEWIS

Last Name

KOCK

Business Name

CHARLES LEWIS KOCK

Original Issue Date

09/04/2012

Effective Date

09/04/2012

Expiration Date

03/01/2014

State

LA

Ever Disciplined

N

LastModifiedDate

04/14/2016