ASTA GURKLYS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

NOT RENEWED

Business

First Name

ASTA

Last Name

GURKLYS

Business Name

ASTA GURKLYS

Original Issue Date

06/03/2020

Effective Date

06/03/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022