GARY S TATE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000560

License Status

NOT RENEWED

Business

First Name

GARY S

Last Name

TATE

Business Name

GARY S TATE

Original Issue Date

10/18/1993

Effective Date

10/18/1993

Expiration Date

03/01/1996

City

DUBUQUE

State

Zip

52001

County

IOWA

Ever Disciplined

LastModifiedDate

09/26/2006