GARY ANTHONY SERRAVO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010255

License Status

ACTIVE

Business

First Name

GARY

Middle

ANTHONY

Last Name

SERRAVO

Business Name

GARY ANTHONY SERRAVO

Original Issue Date

01/12/2024

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

MAPLEWOOD

State

Zip

07040

Ever Disciplined

LastModifiedDate

02/02/2026