LAUREN N GAMBLE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

INOPERATIVE

Business

First Name

LAUREN

Middle

Last Name

GAMBLE

Business Name

LAUREN N GAMBLE

Original Issue Date

08/07/2019

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022