LAURA JEAN MCGOVERN D.O. Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000995

License Status

NOT RENEWED

Business

Title

D.O.

First Name

LAURA

Middle

JEAN

Last Name

MCGOVERN

Business Name

LAURA JEAN MCGOVERN D.O.

Original Issue Date

01/21/1998

Effective Date

01/21/1998

Expiration Date

03/01/2006

City

TAMPA

State

Zip

33625

Ever Disciplined

LastModifiedDate

10/09/2006