MARY ANN GOOD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****61

License Status

ACTIVE

Business

First Name

MARY

Middle

ANN

Last Name

GOOD

Business Name

MARY ANN GOOD

Original Issue Date

03/14/2012

Effective Date

12/18/2025

Expiration Date

03/01/2028

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/18/2025