DIVYA DINES GOPAL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008847

License Status

NOT RENEWED

Business

First Name

DIVYA

Middle

DINES

Last Name

GOPAL

Business Name

DIVYA DINES GOPAL

Original Issue Date

02/02/2022

Effective Date

02/02/2022

Expiration Date

03/01/2024

City

EVANS

State

Zip

30809

Ever Disciplined

LastModifiedDate

02/05/2025