TERRY ALLEN GANDER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

ALLEN

Last Name

GANDER

Business Name

TERRY ALLEN GANDER

Original Issue Date

02/04/2013

Effective Date

01/27/2014

Expiration Date

03/01/2016

City

NAUVOO

State

Zip

62354

County

HANCOCK

Ever Disciplined

LastModifiedDate

04/25/2016