EMILY KATHERINE GEBHARDT Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

INOPERATIVE

Business

First Name

EMILY

Middle

KATHERINE

Last Name

GEBHARDT

Business Name

EMILY KATHERINE GEBHARDT

Original Issue Date

10/21/2014

Effective Date

03/08/2018

Expiration Date

03/01/2020

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

12/18/2019