GARY D GONSALVES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113592

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

GONSALVES

Suffix

Business Name

GARY D GONSALVES MD

Original Issue Date

04/29/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

LOS ANGLES

State

Zip

90024

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/06/2008