ERYN RAE GORMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009457

License Status

ACTIVE

Business

First Name

ERYN

Middle

RAE

Last Name

GORMAN

Business Name

ERYN RAE GORMAN

Original Issue Date

12/17/2022

Effective Date

01/29/2024

Expiration Date

03/01/2026

City

TERRE HAUTE

State

Zip

47802

Ever Disciplined

LastModifiedDate

12/03/2025