CHARLES GREEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011907

License Status

ACTIVE

Business

First Name

CHARLES

Last Name

GREEN

Business Name

CHARLES GREEN

Original Issue Date

11/13/2025

Effective Date

11/13/2025

Expiration Date

03/01/2026

City

WHEATON

State

Zip

60187

Ever Disciplined

LastModifiedDate

12/03/2025