SHARON KAY GOTTSCHALK Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001688

License Status

INACTIVE

Business

First Name

SHARON

Middle

KAY

Last Name

GOTTSCHALK

Business Name

SHARON KAY GOTTSCHALK

Original Issue Date

11/06/2001

Effective Date

11/06/2001

Expiration Date

03/01/2006

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006