CHARLES E WEBSTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000126

License Status

NOT RENEWED

Business

First Name

CHARLES E

Last Name

WEBSTER

Business Name

CHARLES E WEBSTER

Original Issue Date

01/25/1977

Effective Date

01/25/1977

Expiration Date

01/25/1979

City

ROCK ISLAND

State

Zip

61201

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006