MARCEL LOUIS GUSTIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002675

License Status

NOT RENEWED

Business

First Name

MARCEL

Middle

LOUIS

Last Name

GUSTIN

Business Name

MARCEL LOUIS GUSTIN

Original Issue Date

12/14/2005

Effective Date

01/06/2010

Expiration Date

03/01/2012

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/03/2018