CHARLES DAVID GAUTHIER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002152

License Status

INACTIVE

Business

First Name

CHARLES

Middle

DAVID

Last Name

GAUTHIER

Business Name

CHARLES DAVID GAUTHIER

Original Issue Date

10/23/2003

Effective Date

10/23/2003

Expiration Date

03/01/2006

City

SAN ANTONIO

State

Zip

78253

County

TEXAS

Ever Disciplined

LastModifiedDate

10/09/2006