CHARLES KROHN FISHPAW Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008026

License Status

ACTIVE

Business

First Name

CHARLES

Middle

KROHN

Last Name

FISHPAW

Business Name

CHARLES KROHN FISHPAW

Original Issue Date

10/26/2020

Effective Date

04/24/2024

Expiration Date

03/01/2026

City

MEDFORD

State

Zip

02155

Ever Disciplined

LastModifiedDate

12/03/2025