CRAIG L CARTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000012

License Status

NOT RENEWED

Business

First Name

CRAIG L

Last Name

CARTER

Business Name

CRAIG L CARTER

Original Issue Date

11/05/1980

Effective Date

11/05/1980

Expiration Date

11/05/1982

City

EARLVILLE

State

Zip

60518

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/26/2006