ROBERTA LOUISE GASPAR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007526

License Status

NOT RENEWED

Business

First Name

ROBERTA

Middle

LOUISE

Last Name

GASPAR

Business Name

ROBERTA LOUISE GASPAR

Original Issue Date

01/27/2020

Effective Date

02/24/2022

Expiration Date

03/01/2024

City

GROSSE POINTE FARMS

State

Zip

48236

Ever Disciplined

LastModifiedDate

02/05/2025