GARY LEWIS EVANS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

NOT RENEWED

Business

First Name

GARY

Middle

LEWIS

Last Name

EVANS

Business Name

GARY LEWIS EVANS

Original Issue Date

08/05/2008

Effective Date

02/23/2018

Expiration Date

03/01/2020

City

MCCORDSVILLE

State

Zip

46055

County

HANCOCK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020