CHRISTINE ANN POWERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001153

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

ANN

Last Name

POWERS

Business Name

CHRISTINE ANN POWERS

Original Issue Date

01/11/1999

Effective Date

02/26/2010

Expiration Date

03/01/2012

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

04/11/2012