KRISTEN RENEE GELBER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****40

License Status

INOPERATIVE

Business

First Name

KRISTEN

Middle

RENEE

Last Name

GELBER

Business Name

KRISTEN RENEE GELBER

Original Issue Date

03/05/2009

Effective Date

01/21/2014

Expiration Date

03/01/2016

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

01/21/2014