DAVID LEE GOSE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002697

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

03/01/2016

Expiration Date

03/01/2018

City

SCOTTS

State

Zip

49088

County

MICHIGAN

Ever Disciplined

LastModifiedDate

05/10/2018