GERALD R CAMERON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

NOT RENEWED

Business

First Name

GERALD

Middle

Last Name

CAMERON

Business Name

GERALD R CAMERON

Original Issue Date

03/22/2001

Effective Date

02/23/2022

Expiration Date

03/01/2024

City

CARBONDALE

State

Zip

62901

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025