DIVYA DINES GOPAL - Physician Assistant License in Georgia | # 085008847

DIVYA DINES GOPAL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008847

License Status

NOT RENEWED

Business

N

First Name

DIVYA

Middle

DINES

Last Name

GOPAL

Business Name

DIVYA DINES GOPAL

Original Issue Date

02/02/2022

Effective Date

02/02/2022

Expiration Date

03/01/2024

State

GA

Ever Disciplined

N

LastModifiedDate

02/05/2025