CHARLA A HAGEL Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001559

License Status

INACTIVE

Business

First Name

CHARLA

Middle

Last Name

HAGEL

Business Name

CHARLA A HAGEL

Original Issue Date

02/07/2001

Effective Date

02/26/2010

Expiration Date

03/01/2012

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

12/07/2011