ELEANOR M WESTPHAL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000477

License Status

NOT RENEWED

Business

First Name

ELEANOR M

Last Name

WESTPHAL

Business Name

ELEANOR M WESTPHAL

Original Issue Date

01/14/1992

Effective Date

01/14/1992

Expiration Date

03/01/1994

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/26/2006