GORDON G EGGERS JR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000278

License Status

NOT RENEWED

Business

First Name

GORDON G

Last Name

EGGERS JR

Business Name

GORDON G EGGERS JR

Original Issue Date

11/14/1984

Effective Date

02/26/2018

Expiration Date

03/01/2020

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/24/2020