KATHARINE PATRICIA GASS BROCK - Physician Assistant License in Massachusetts | # 085001404

KATHARINE PATRICIA GASS BROCK

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001404

License Status

INACTIVE

Business

N

First Name

KATHARINE

Middle

PATRICIA

Last Name

GASS BROCK

Business Name

KATHARINE PATRICIA GASS BROCK

Original Issue Date

07/03/2000

Effective Date

07/03/2000

Expiration Date

03/01/2002

State

MA

Ever Disciplined

N

LastModifiedDate

10/09/2006