JAMIE LYNN GILLETTE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003032

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

LYNN

Last Name

GILLETTE

Business Name

JAMIE LYNN GILLETTE

Original Issue Date

09/06/2007

Effective Date

01/12/2012

Expiration Date

03/01/2014

City

NEW BERLIN

State

Zip

62670

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/08/2014