HEATHER MICHELLE GATES Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****98

License Status

INOPERATIVE

Business

First Name

HEATHER

Middle

MICHELLE

Last Name

GATES

Business Name

HEATHER MICHELLE GATES

Original Issue Date

09/30/2011

Effective Date

02/26/2016

Expiration Date

03/01/2018

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2018