MOLLY BREWSTER GORMLEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****80

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

BREWSTER

Last Name

GORMLEY

Business Name

MOLLY BREWSTER GORMLEY

Original Issue Date

10/31/2022

Effective Date

10/31/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025