AMY E GERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003771

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

GERSON

Business Name

AMY E GERSON

Original Issue Date

06/24/2010

Effective Date

02/24/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/22/2014