JACOB GORDON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007831

License Status

NOT RENEWED

Business

First Name

JACOB

Last Name

GORDON

Business Name

JACOB GORDON

Original Issue Date

07/09/2020

Effective Date

07/09/2020

Expiration Date

03/01/2022

City

SILVER SPRING

State

Zip

20904

Ever Disciplined

LastModifiedDate

07/27/2022