CHARLES R GRAY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002929

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

GRAY

Business Name

CHARLES R GRAY

Original Issue Date

01/03/2007

Effective Date

01/03/2007

Expiration Date

03/01/2008

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

04/23/2008