ERIN NICOLE GOHLKE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003103

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

NICOLE

Last Name

GOHLKE

Business Name

ERIN NICOLE GOHLKE

Original Issue Date

10/11/2007

Effective Date

03/17/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

01/22/2015