ERIC CHARLES WESTPHAL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003752

License Status

NOT RENEWED

Business

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

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/23/2015