DIANE J GIBSON - Physician Assistant License in Illinois | # 085000357

DIANE J GIBSON

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000357

License Status

INACTIVE

Business

N

First Name

DIANE J

Last Name

GIBSON

Business Name

DIANE J GIBSON

Original Issue Date

05/01/1988

Effective Date

05/01/1988

Expiration Date

03/01/1994

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006