MARY CAROLYN GAMACHE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

MARY CAROLYN

Last Name

GAMACHE

Suffix

Business Name

MARY CAROLYN GAMACHE MD

Original Issue Date

03/11/1997

Effective Date

03/11/1997

Expiration Date

07/31/2002

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006