GITTEL MINDICK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

NOT RENEWED

Business

First Name

GITTEL

Last Name

MINDICK

Business Name

GITTEL MINDICK

Original Issue Date

08/20/2014

Effective Date

02/23/2016

Expiration Date

03/01/2018

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018