MINDY ALLISON GARDNER - Physician Assistant License in Illinois | # 085003786

MINDY ALLISON GARDNER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003786

License Status

NOT RENEWED

Business

N

First Name

MINDY

Middle

ALLISON

Last Name

GARDNER

Business Name

MINDY ALLISON GARDNER

Original Issue Date

07/08/2010

Effective Date

07/08/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

04/11/2012