GERALD G WATT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000666

License Status

NOT RENEWED

Business

First Name

GERALD

Middle

Last Name

WATT

Business Name

GERALD G WATT

Original Issue Date

01/23/1995

Effective Date

01/23/1995

Expiration Date

03/01/2008

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2009