EDWARD J GERBER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

Last Name

GERBER

Business Name

EDWARD J GERBER

Original Issue Date

02/09/2005

Effective Date

02/09/2005

Expiration Date

03/01/2008

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/09/2008