EDGAR GONZALEZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006355

License Status

NOT RENEWED

Business

First Name

EDGAR

Last Name

GONZALEZ

Business Name

EDGAR GONZALEZ

Original Issue Date

09/19/2017

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

HUNTINGTON BEACH

State

Zip

92647

Ever Disciplined

LastModifiedDate

11/24/2020