KIMBERLY NICOLE GORSUCH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

NICOLE

Last Name

GORSUCH

Business Name

KIMBERLY NICOLE GORSUCH

Original Issue Date

11/03/2017

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2026