Indiana
Professional Licensing Agency
David Lee Gose
Physician Assistant
License number
10000539A
Date granted
12/12/2001
Date expires
06/30/2014
Class
Physician Assistant
Status
Active
Address
Decatur IL 62526
indianalicensing.org
ID 8389495
LAST UPDATED 2024-02-25 19:53:56 UTC
LAST UPDATED 2024-02-25 19:53:56 UTC
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