MARIAN GAKES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000352

License Status

NOT RENEWED

Business

First Name

MARIAN

Last Name

GAKES

Business Name

MARIAN GAKES

Original Issue Date

04/06/1988

Effective Date

04/06/1988

Expiration Date

03/01/1996

City

UNIVERSITY CITY

State

Zip

63132

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/26/2006