CANDACE D CHARLES Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

ACTIVE

Business

First Name

CANDACE

Middle

Last Name

CHARLES

Business Name

CANDACE D CHARLES

Original Issue Date

04/16/2013

Effective Date

12/05/2025

Expiration Date

03/01/2028

City

SWANSEA

State

Zip

62226

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2025