MARIANNE GOULD Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002015

License Status

INACTIVE

Business

First Name

MARIANNE

Last Name

GOULD

Business Name

MARIANNE GOULD

Original Issue Date

06/25/2003

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

FALMOUTH

State

Zip

02540

Ever Disciplined

LastModifiedDate

11/17/2010