License holder summary

CLARK, STACIE ALISSA is a Medical - Assistant Cosmetic Laser Practitioner licensed to practice in Georgia. The address on file for CLARK, STACIE ALISSA is 5505 PEACHTREE DUNWOODY RD STE 6, Atlanta 30342. This doctor license is current. The license was granted 02/05/2015 and expired on 02/28/2017.

Georgia

Composite Medical Board

CLARK, STACIE ALISSA
Medical - Assistant Cosmetic Laser Practitioner
License number
000411
Date granted
02/05/2015
Date expires
02/28/2017
Class
Medical - Assistant Cosmetic Laser Practitioner
Status
Active
Address
5505 PEACHTREE DUNWOODY RD STE 6
georgiadoctors.net
ID 38095650
LAST UPDATED 2024-03-08 19:38:33 UTC

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