DAVID P GAIDA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002134

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

GAIDA

Business Name

DAVID P GAIDA

Original Issue Date

10/20/2003

Effective Date

03/05/2012

Expiration Date

03/01/2014

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

04/08/2014