HEATHER N GOURDIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000894

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

GOURDIN

Business Name

HEATHER N GOURDIN

Original Issue Date

02/19/1997

Effective Date

02/19/1997

Expiration Date

03/01/1998

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/26/2006