CHARLES L MILLBURG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000155

License Status

NOT RENEWED

Business

First Name

CHARLES L

Last Name

MILLBURG

Business Name

CHARLES L MILLBURG

Original Issue Date

01/30/1981

Effective Date

01/30/1981

Expiration Date

01/30/1985

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

09/26/2006