GLENN ERIC GIFFORD - Physician Assistant License in South Dakota | # 085010682

GLENN ERIC GIFFORD

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010682

License Status

ACTIVE

Business

N

First Name

GLENN

Middle

ERIC

Last Name

GIFFORD

Business Name

GLENN ERIC GIFFORD

Original Issue Date

08/28/2024

Effective Date

12/30/2025

Expiration Date

03/01/2028

State

SD

Ever Disciplined

N

LastModifiedDate

12/30/2025