SUSAN LYNN GILPIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001690

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

LYNN

Last Name

GILPIN

Business Name

SUSAN LYNN GILPIN

Original Issue Date

11/06/2001

Effective Date

11/06/2001

Expiration Date

03/01/2008

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2009