CHARLOTTE MARIE CRISMYRE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004078

License Status

NOT RENEWED

Business

First Name

CHARLOTTE

Middle

MARIE

Last Name

CRISMYRE

Business Name

CHARLOTTE MARIE CRISMYRE

Original Issue Date

07/18/2011

Effective Date

02/24/2014

Expiration Date

03/01/2016

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

04/25/2016