GERRY J BERTISH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000480

License Status

NOT RENEWED

Business

First Name

GERRY J

Last Name

BERTISH

Business Name

GERRY J BERTISH

Original Issue Date

01/14/1992

Effective Date

01/14/1992

Expiration Date

03/01/1994

City

ST LOUIS

State

Zip

63132

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/26/2006