KELLY ANN GABA Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002138

License Status

INACTIVE

Business

First Name

KELLY

Middle

ANN

Last Name

GABA

Business Name

KELLY ANN GABA

Original Issue Date

10/21/2003

Effective Date

01/22/2014

Expiration Date

03/01/2016

City

DILLON

State

Zip

80435

Ever Disciplined

LastModifiedDate

03/17/2016