ANDREAS HANS GOMOLL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112798

License Status

INACTIVE

Business

First Name

ANDREAS

Middle

HANS

Last Name

GOMOLL

Suffix

Business Name

ANDREAS HANS GOMOLL MD

Original Issue Date

12/21/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

JAMAICA PLAIN

State

Zip

02130

Ever Disciplined

LastModifiedDate

11/08/2017