CHARLES DENNEHEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007911

License Status

NOT RENEWED

Business

First Name

CHARLES

Last Name

DENNEHEY

Business Name

CHARLES DENNEHEY

Original Issue Date

08/31/2020

Effective Date

08/31/2020

Expiration Date

03/01/2022

City

DAVENPORT

State

Zip

52806

Ever Disciplined

LastModifiedDate

07/27/2022