ASHLEY MCCLAIN GOSE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

MCCLAIN

Last Name

GOSE

Business Name

ASHLEY MCCLAIN GOSE

Original Issue Date

11/14/2002

Effective Date

12/24/2009

Expiration Date

03/01/2012

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

04/16/2012