LEON WAYNE GAUTHIER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

ACTIVE

Business

First Name

LEON WAYNE

Last Name

GAUTHIER

Business Name

LEON WAYNE GAUTHIER

Original Issue Date

03/26/2001

Effective Date

12/30/2025

Expiration Date

03/01/2028

City

HARRISBURG

State

Zip

62946

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/30/2025