CARLY K GIETLER - Physician Assistant License in Illinois | # 085004054

CARLY K GIETLER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004054

License Status

NOT RENEWED

Business

N

First Name

CARLY

Middle

K

Last Name

GIETLER

Business Name

CARLY K GIETLER

Original Issue Date

07/11/2011

Effective Date

01/22/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016