GINA CHRISTINE BIRD 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

GINA

Middle

CHRISTINE

Last Name

BIRD

Business Name

GINA CHRISTINE BIRD

Original Issue Date

11/15/2004

Effective Date

01/08/2026

Expiration Date

03/01/2028

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026