GERTY JEAN-LOUIS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

INOPERATIVE

Business

First Name

GERTY

Last Name

JEAN-LOUIS

Business Name

GERTY JEAN-LOUIS

Original Issue Date

04/13/2011

Effective Date

02/29/2012

Expiration Date

03/01/2014

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

07/25/2013