KIMBERLY D GILLOCK - Physician Assistant License in Oklahoma | # 085003194

KIMBERLY D GILLOCK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003194

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

D

Last Name

GILLOCK

Business Name

KIMBERLY D GILLOCK

Original Issue Date

02/22/2008

Effective Date

02/22/2008

Expiration Date

03/01/2010

State

OK

Ever Disciplined

N

LastModifiedDate

11/17/2010