BRITNEY ANN GORMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

NOT RENEWED

Business

First Name

BRITNEY

Middle

ANN

Last Name

GORMAN

Business Name

BRITNEY ANN GORMAN

Original Issue Date

03/05/2019

Effective Date

12/18/2019

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60614

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022