CHARLES R KNUDSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****45

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

KNUDSON

Business Name

CHARLES R KNUDSON

Original Issue Date

08/14/2012

Effective Date

01/14/2026

Expiration Date

03/01/2028

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2026