SETH DAVID GARDNER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

INOPERATIVE

Business

First Name

SETH

Middle

DAVID

Last Name

GARDNER

Business Name

SETH DAVID GARDNER

Original Issue Date

04/01/2013

Effective Date

04/01/2013

Expiration Date

03/01/2014

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

02/27/2014