MINDY ALLISON GARDNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003786

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012