CHARLES WILLIAM DOWELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

WILLIAM

Last Name

DOWELL

Business Name

CHARLES WILLIAM DOWELL

Original Issue Date

05/26/2005

Effective Date

02/25/2020

Expiration Date

03/01/2022

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022