XIMENA ELIZABETH GUMPEL - Physician Assistant License in Illinois | # 085003014

XIMENA ELIZABETH GUMPEL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003014

License Status

NOT RENEWED

Business

N

First Name

XIMENA

Middle

ELIZABETH

Last Name

GUMPEL

Business Name

XIMENA ELIZABETH GUMPEL

Original Issue Date

08/06/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2010