GERTY JEAN-LOUIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003793

License Status

NOT RENEWED

Business

First Name

GERTY

Last Name

JEAN-LOUIS

Business Name

GERTY JEAN-LOUIS

Original Issue Date

07/15/2010

Effective Date

02/29/2012

Expiration Date

03/01/2014

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014