KATHERINE THOMPSON GORDON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****42

License Status

INOPERATIVE

Business

First Name

KATHERINE

Middle

THOMPSON

Last Name

GORDON

Business Name

KATHERINE THOMPSON GORDON

Original Issue Date

07/21/2022

Effective Date

07/21/2022

Expiration Date

03/01/2024

City

EVANSTON

State

Zip

60201

Ever Disciplined

LastModifiedDate

12/06/2023