CHARLES WILLIAM DOWELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002254

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

WILLIAM

Last Name

DOWELL

Business Name

CHARLES WILLIAM DOWELL

Original Issue Date

07/01/2004

Effective Date

02/25/2020

Expiration Date

03/01/2022

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022