CECIL GANDIA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007785

License Status

NOT RENEWED

Business

First Name

CECIL

Last Name

GANDIA

Business Name

CECIL GANDIA

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

03/01/2022

City

VIRGINIA BEACH

State

Zip

23464

Ever Disciplined

LastModifiedDate

07/27/2022