DAVID LEE GOSE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

LEE

Last Name

GOSE

Business Name

DAVID LEE GOSE

Original Issue Date

03/20/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

02/10/2011