DAVID P GAIDA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****08

License Status

INOPERATIVE

Business

First Name

DAVID

Middle

Last Name

GAIDA

Business Name

DAVID P GAIDA

Original Issue Date

12/02/2003

Effective Date

03/05/2012

Expiration Date

03/01/2014

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

10/02/2012