KIMBERLY D GILLOCK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003194

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

GILLOCK

Business Name

KIMBERLY D GILLOCK

Original Issue Date

02/22/2008

Effective Date

02/22/2008

Expiration Date

03/01/2010

City

TULSA

State

Zip

74137

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

11/17/2010