EDWARD J GERBER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002408

License Status

INACTIVE

Business

First Name

EDWARD

Middle

Last Name

GERBER

Business Name

EDWARD J GERBER

Original Issue Date

11/04/2004

Effective Date

11/04/2004

Expiration Date

03/01/2008

City

JEFFERSON CITY

State

Zip

65109

Ever Disciplined

LastModifiedDate

01/09/2008