HOLLY D GINGERICH - Physician Assistant License in Illinois | # 085004059

HOLLY D GINGERICH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004059

License Status

NOT RENEWED

Business

N

First Name

HOLLY

Middle

D

Last Name

GINGERICH

Business Name

HOLLY D GINGERICH

Original Issue Date

07/12/2011

Effective Date

01/11/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

07/01/2014