STEPHANIE J GAINES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001999

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

GAINES

Business Name

STEPHANIE J GAINES

Original Issue Date

03/28/2003

Effective Date

01/08/2009

Expiration Date

03/01/2010

City

MASON

State

Zip

45040

County

OHIO

Ever Disciplined

LastModifiedDate

04/01/2010