SHARON KAY GOTTSCHALK Physician Assistant License verification

Business Entity

CANCELLED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****44

License Status

CANCELLED

Business

First Name

SHARON

Middle

KAY

Last Name

GOTTSCHALK

Business Name

SHARON KAY GOTTSCHALK

Original Issue Date

01/18/2002

Effective Date

01/18/2002

Expiration Date

03/01/2006

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

09/26/2006