DENISE GERDA BASCH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006148

License Status

NOT RENEWED

Business

First Name

DENISE

Middle

GERDA

Last Name

BASCH

Business Name

DENISE GERDA BASCH

Original Issue Date

03/09/2017

Effective Date

02/26/2018

Expiration Date

03/01/2020

City

CHESTERFIELD

State

Zip

63005

Ever Disciplined

LastModifiedDate

11/24/2020