RAYANN NICOLE GERKIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****16

License Status

NOT RENEWED

Business

First Name

RAYANN

Middle

NICOLE

Last Name

GERKIN

Business Name

RAYANN NICOLE GERKIN

Original Issue Date

07/14/2004

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

02/23/2009