LARRY ERNEST GERDOM

Physician Assistant Controlled Substance

Illinois  385003400   Active

This Illinois license is held by LARRY ERNEST GERDOM. The license is currently active. It was granted on 07/19/2013 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 385003400
  • Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE
  • Status: Active
  • Date Granted: 07/19/2013 (almost 12 years ago)
  • Expiry Date: 03/01/2016 (over 9 years ago)

LOCATIONS

A Address

Cissna Park, IL 60924-8715