GAIL A HEINZ 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

GAIL

Middle

Last Name

HEINZ

Business Name

GAIL A HEINZ

Original Issue Date

07/22/2009

Effective Date

03/01/2010

Expiration Date

03/01/2012

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

08/21/2014