EDWARD GILMORE - Physician Assistant License in Illinois | # 085000382

EDWARD GILMORE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000382

License Status

NOT RENEWED

Business

N

First Name

EDWARD

Last Name

GILMORE

Business Name

EDWARD GILMORE

Original Issue Date

03/17/1990

Effective Date

01/19/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

04/11/2012