KATHERINE GWEN THOMPSON - Physician Assistant License in Illinois | # 085001961

KATHERINE GWEN THOMPSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001961

License Status

NOT RENEWED

Business

N

First Name

KATHERINE

Middle

GWEN

Last Name

THOMPSON

Business Name

KATHERINE GWEN THOMPSON

Original Issue Date

12/26/2002

Effective Date

12/26/2002

Expiration Date

03/01/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006