ASTA GURKLYS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007215

License Status

NOT RENEWED

Business

First Name

ASTA

Last Name

GURKLYS

Business Name

ASTA GURKLYS

Original Issue Date

08/16/2019

Effective Date

03/03/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022