XIMENA ELIZABETH GUMPEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003014

License Status

NOT RENEWED

Business

First Name

XIMENA

Middle

ELIZABETH

Last Name

GUMPEL

Business Name

XIMENA ELIZABETH GUMPEL

Original Issue Date

08/06/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

04/01/2010