Arizona
Board of Licensing
Forrest Dale Gorter PA
Physician Assistant
License number
1023
Date granted
05/01/1978
Class
Physician Assistant
Status
Active
Address
150 S 12th St, Phoenix AZ 85034-2301
arizonalicensing.com
ID 22737174
LAST UPDATED 2026-05-31 16:21:07 UTC
LAST UPDATED 2026-05-31 16:21:07 UTC