TERRA ELIZABETH GAHLMAN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****95

License Status

INOPERATIVE

Business

First Name

TERRA

Middle

ELIZABETH

Last Name

GAHLMAN

Business Name

TERRA ELIZABETH GAHLMAN

Original Issue Date

12/02/2013

Effective Date

12/02/2013

Expiration Date

03/01/2016

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

12/02/2013