GAYLE BRANSON BLAKE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002317

License Status

ACTIVE

Business

First Name

GAYLE

Middle

BRANSON

Last Name

BLAKE

Business Name

GAYLE BRANSON BLAKE

Original Issue Date

09/07/2004

Effective Date

02/17/2026

Expiration Date

03/01/2028

City

HENDERSON

State

Zip

89012

Ever Disciplined

LastModifiedDate

02/17/2026