AMANDA M GIBBS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005388

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

GIBBS

Business Name

AMANDA M GIBBS

Original Issue Date

01/23/2015

Effective Date

03/01/2018

Expiration Date

03/01/2020

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020