GARY LEWIS EVANS - Physician Assistant License in Indiana | # 085003219

GARY LEWIS EVANS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003219

License Status

NOT RENEWED

Business

N

First Name

GARY

Middle

LEWIS

Last Name

EVANS

Business Name

GARY LEWIS EVANS

Original Issue Date

05/19/2008

Effective Date

02/23/2018

Expiration Date

03/01/2020

State

IN

Ever Disciplined

N

LastModifiedDate

11/24/2020