GABRIELLE POTTS KINNEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****74

License Status

NOT RENEWED

Business

First Name

GABRIELLE

Middle

POTTS

Last Name

KINNEY

Business Name

GABRIELLE POTTS KINNEY

Original Issue Date

11/21/2013

Effective Date

02/25/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016