GERALD GOZNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001127

License Status

NOT RENEWED

Business

First Name

GERALD

Last Name

GOZNER

Business Name

GERALD GOZNER

Original Issue Date

01/11/1999

Effective Date

01/11/1999

Expiration Date

03/01/2002

City

EAU CLAIRE

State

Zip

54701

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006