GRETCHEN WAYNE FAWCETT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001592

License Status

ACTIVE

Business

First Name

GRETCHEN

Middle

WAYNE

Last Name

FAWCETT

Business Name

GRETCHEN WAYNE FAWCETT

Original Issue Date

07/06/2001

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

IPAVA

State

Zip

61441

County

FULTON

Ever Disciplined

LastModifiedDate

12/31/2025