SUSAN LYNN GILPIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

LYNN

Last Name

GILPIN

Business Name

SUSAN LYNN GILPIN

Original Issue Date

12/04/2003

Effective Date

12/04/2003

Expiration Date

03/01/2008

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2009