CAROL J BOSCHERT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****68

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

BOSCHERT

Business Name

CAROL J BOSCHERT

Original Issue Date

02/05/2002

Effective Date

02/05/2002

Expiration Date

03/01/2006

City

BEARDSTOWN

State

Zip

62618

County

CASS

Ever Disciplined

LastModifiedDate

10/09/2006