HEATHER MICHELLE GATES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004173

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

MICHELLE

Last Name

GATES

Business Name

HEATHER MICHELLE GATES

Original Issue Date

09/30/2011

Effective Date

02/26/2016

Expiration Date

03/01/2018

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/10/2018