HEATHER N GOURDIN - Physician Assistant License in Illinois | # 085000894

HEATHER N GOURDIN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000894

License Status

NOT RENEWED

Business

N

First Name

HEATHER

Middle

N

Last Name

GOURDIN

Business Name

HEATHER N GOURDIN

Original Issue Date

02/19/1997

Effective Date

02/19/1997

Expiration Date

03/01/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006