ANGELA GAUTHIER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

ACTIVE

Business

First Name

ANGELA

Last Name

GAUTHIER

Business Name

ANGELA GAUTHIER

Original Issue Date

07/14/2021

Effective Date

02/29/2024

Expiration Date

03/01/2026

City

COLUMBIA

State

Zip

62236

County

MONROE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025