RAYANN NICOLE GERKIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002216

License Status

NOT RENEWED

Business

First Name

RAYANN

Middle

NICOLE

Last Name

GERKIN

Business Name

RAYANN NICOLE GERKIN

Original Issue Date

02/24/2004

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

04/01/2010