CHARLES W WATKINS Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000263

License Status

INACTIVE

Business

First Name

CHARLES W

Last Name

WATKINS

Business Name

CHARLES W WATKINS

Original Issue Date

12/09/1983

Effective Date

12/09/1983

Expiration Date

03/01/2000

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006