MOLLY BREWSTER GORMLEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009134

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

BREWSTER

Last Name

GORMLEY

Business Name

MOLLY BREWSTER GORMLEY

Original Issue Date

07/28/2022

Effective Date

07/28/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025