MEGANNE MARIE GOURLEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006084

License Status

ACTIVE

Business

First Name

MEGANNE

Middle

MARIE

Last Name

GOURLEY

Business Name

MEGANNE MARIE GOURLEY

Original Issue Date

11/23/2016

Effective Date

12/06/2025

Expiration Date

03/01/2028

City

NORTH PLATTE

State

Zip

69101

Ever Disciplined

LastModifiedDate

12/06/2025