ERIC ANDREW GIRARDOT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002413

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

ANDREW

Last Name

GIRARDOT

Business Name

ERIC ANDREW GIRARDOT

Original Issue Date

11/10/2004

Effective Date

12/30/2019

Expiration Date

03/01/2022

City

CARMEL

State

Zip

46033

Ever Disciplined

LastModifiedDate

07/27/2022