ERIN NICOLE GOHLKE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****07

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

NICOLE

Last Name

GOHLKE

Business Name

ERIN NICOLE GOHLKE

Original Issue Date

11/21/2007

Effective Date

03/17/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

01/22/2015