COLIN DUPREE GAUSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139869

License Status

NOT RENEWED

Business

Title

First Name

COLIN

Middle

DUPREE

Last Name

GAUSE

Business Name

COLIN DUPREE GAUSE MD

Original Issue Date

02/25/2016

Effective Date

02/25/2016

Expiration Date

07/31/2017

City

CLARKSVILLE

State

Zip

21029

County

MARYLAND

Ever Disciplined

LastModifiedDate

11/01/2017