KATIE NICOLE GIMBEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006574

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

NICOLE

Last Name

GIMBEL

Business Name

KATIE NICOLE GIMBEL

Original Issue Date

04/19/2018

Effective Date

03/11/2022

Expiration Date

03/01/2024

City

LONG GROVE

State

Zip

52756

County

SCOTT

Ever Disciplined

LastModifiedDate

02/05/2025