BECKY LYNN GORHAM Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001731

License Status

INACTIVE

Business

First Name

BECKY

Middle

LYNN

Last Name

GORHAM

Business Name

BECKY LYNN GORHAM

Original Issue Date

12/03/2001

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

SAN ANTONIO

State

Zip

78247

Ever Disciplined

LastModifiedDate

02/07/2022