ERIC CHARLES WESTPHAL - Physician Assistant License in Illinois | # 085003752

ERIC CHARLES WESTPHAL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003752

License Status

NOT RENEWED

Business

N

First Name

ERIC

Middle

CHARLES

Last Name

WESTPHAL

Business Name

ERIC CHARLES WESTPHAL

Original Issue Date

06/16/2010

Effective Date

06/16/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/23/2015