MARGO L GILLMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

NOT RENEWED

Business

First Name

MARGO

Middle

Last Name

GILLMAN

Business Name

MARGO L GILLMAN

Original Issue Date

10/29/2013

Effective Date

01/21/2014

Expiration Date

03/01/2016

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

08/26/2016