License holder summary

BLACKBURNE, KIZUWANDA ONI is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for BLACKBURNE, KIZUWANDA ONI is 1601 SCENIC PINES, Lawrenceville 30044. This doctor license is current. The license was granted 09/14/2007 and expired on 07/31/2017.

Georgia

Composite Medical Board

BLACKBURNE, KIZUWANDA ONI
Medical - Physician Assistant
License number
005126
Date granted
09/14/2007
Date expires
07/31/2017
Class
Medical - Physician Assistant
Status
Active
Address
1601 SCENIC PINES
georgiadoctors.net
ID 38096633
LAST UPDATED 2024-03-23 06:45:36 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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