GERALD G WATT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****36

License Status

NOT RENEWED

Business

First Name

GERALD

Middle

Last Name

WATT

Business Name

GERALD G WATT

Original Issue Date

09/03/2004

Effective Date

09/03/2004

Expiration Date

03/01/2008

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

02/05/2009