CHARLES M PIMENTEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000438

License Status

NOT RENEWED

Business

First Name

CHARLES M

Last Name

PIMENTEL

Business Name

CHARLES M PIMENTEL

Original Issue Date

03/02/1991

Effective Date

03/02/1991

Expiration Date

03/01/2004

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

10/09/2006