GARY LEWIS EVANS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003219

License Status

NOT RENEWED

Business

First Name

GARY

Middle

LEWIS

Last Name

EVANS

Business Name

GARY LEWIS EVANS

Original Issue Date

05/19/2008

Effective Date

02/23/2018

Expiration Date

03/01/2020

City

MCCORDSVILLE

State

Zip

46055

County

HANCOCK

Ever Disciplined

LastModifiedDate

11/24/2020