GARY LEWIS EVANS - Physician Assistant License in Indiana | # 38*****71

GARY LEWIS EVANS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

NOT RENEWED

Business

N

First Name

GARY

Middle

LEWIS

Last Name

EVANS

Business Name

GARY LEWIS EVANS

Original Issue Date

08/05/2008

Effective Date

02/23/2018

Expiration Date

03/01/2020

State

IN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/24/2020