COLLINE N GUSSE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001208

License Status

ACTIVE

Business

First Name

COLLINE

Middle

Last Name

GUSSE

Business Name

COLLINE N GUSSE

Original Issue Date

03/11/1999

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

12/04/2025