GEORGE LANDON GATEWOOD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001228

License Status

NOT RENEWED

Business

First Name

GEORGE

Middle

LANDON

Last Name

GATEWOOD

Business Name

GEORGE LANDON GATEWOOD

Original Issue Date

07/14/1999

Effective Date

07/14/1999

Expiration Date

03/01/2004

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006