KYMBERLY L GOMEZ PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000947

License Status

NOT RENEWED

Business

First Name

KYMBERLY

Middle

Last Name

GOMEZ

Suffix

PA-C

Business Name

KYMBERLY L GOMEZ PA-C

Original Issue Date

10/14/1997

Effective Date

10/14/1997

Expiration Date

03/01/2000

City

BALLWIN

State

Zip

63021

Ever Disciplined

LastModifiedDate

09/26/2006