AMBER KAY GIPPLE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

ACTIVE

Business

First Name

AMBER

Middle

KAY

Last Name

GIPPLE

Business Name

AMBER KAY GIPPLE

Original Issue Date

10/25/2017

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/12/2026