SETH DAVID GARDNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004347

License Status

NOT RENEWED

Business

First Name

SETH

Middle

DAVID

Last Name

GARDNER

Business Name

SETH DAVID GARDNER

Original Issue Date

07/12/2012

Effective Date

02/19/2016

Expiration Date

03/01/2018

City

LAKELAND

State

Zip

33809

Ever Disciplined

LastModifiedDate

05/10/2018