KATHARINE PATRICIA GASS BROCK Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001404

License Status

INACTIVE

Business

First Name

KATHARINE

Middle

PATRICIA

Last Name

GASS BROCK

Business Name

KATHARINE PATRICIA GASS BROCK

Original Issue Date

07/03/2000

Effective Date

07/03/2000

Expiration Date

03/01/2002

City

BROOKLINE

State

Zip

02446

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/09/2006