AMBER ZOE GORHAM Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003235

License Status

INACTIVE

Business

First Name

AMBER

Middle

ZOE

Last Name

GORHAM

Business Name

AMBER ZOE GORHAM

Original Issue Date

06/27/2008

Effective Date

01/23/2014

Expiration Date

03/01/2016

City

BOISE

State

Zip

83706

Ever Disciplined

LastModifiedDate

04/11/2017