ZACHARY MICHAEL GIBBEMEYER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008324

License Status

NOT RENEWED

Business

First Name

ZACHARY

Middle

MICHAEL

Last Name

GIBBEMEYER

Business Name

ZACHARY MICHAEL GIBBEMEYER

Original Issue Date

05/27/2021

Effective Date

05/27/2021

Expiration Date

03/01/2022

City

BELLEVUE

State

Zip

41073

Ever Disciplined

LastModifiedDate

07/27/2022