CHARLA A HAGEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

NOT RENEWED

Business

First Name

CHARLA

Middle

Last Name

HAGEL

Business Name

CHARLA A HAGEL

Original Issue Date

08/19/2003

Effective Date

08/19/2003

Expiration Date

03/01/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006