CAROL J BOSCHERT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001745

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

BOSCHERT

Business Name

CAROL J BOSCHERT

Original Issue Date

01/02/2002

Effective Date

01/02/2002

Expiration Date

03/01/2006

City

BEARDSTOWN

State

Zip

62618

County

CASS

Ever Disciplined

LastModifiedDate

10/09/2006