GWEN MARIE BEHM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006198

License Status

NOT RENEWED

Business

First Name

GWEN

Middle

MARIE

Last Name

BEHM

Business Name

GWEN MARIE BEHM

Original Issue Date

05/31/2017

Effective Date

01/12/2022

Expiration Date

03/01/2024

City

SCHERERVILLE

State

Zip

46375

County

LAKE

Ever Disciplined

LastModifiedDate

02/05/2025