CRISTINA GUTIERREZ GATES Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

INOPERATIVE

Business

First Name

CRISTINA

Middle

GUTIERREZ

Last Name

GATES

Business Name

CRISTINA GUTIERREZ GATES

Original Issue Date

10/13/2015

Effective Date

02/10/2016

Expiration Date

03/01/2018

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/02/2018