MARGO L GILLMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004113

License Status

NOT RENEWED

Business

First Name

MARGO

Middle

Last Name

GILLMAN

Business Name

MARGO L GILLMAN

Original Issue Date

08/26/2011

Effective Date

01/21/2014

Expiration Date

03/01/2016

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

08/26/2016