GERARDO HURTADO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003411

License Status

NOT RENEWED

Business

First Name

GERARDO

Last Name

HURTADO

Business Name

GERARDO HURTADO

Original Issue Date

01/14/2009

Effective Date

01/14/2009

Expiration Date

03/01/2010

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

04/01/2010