GWENETTE JONES LAMPLEY RRT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001139

License Status

NOT RENEWED

Business

First Name

GWENETTE

Middle

JONES

Last Name

LAMPLEY

Suffix

RRT

Business Name

GWENETTE JONES LAMPLEY RRT

Original Issue Date

01/11/1999

Effective Date

01/11/1999

Expiration Date

03/01/2000

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006