LAUREN N GAMBLE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007056

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

GAMBLE

Business Name

LAUREN N GAMBLE

Original Issue Date

04/29/2019

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60611

County

TEXAS

Ever Disciplined

LastModifiedDate

07/27/2022