CHARLES R GRAY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

GRAY

Business Name

CHARLES R GRAY

Original Issue Date

01/26/2007

Effective Date

01/26/2007

Expiration Date

03/01/2008

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/14/2007