License holder summary

MENDOZA, NICOLE LEA is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for MENDOZA, NICOLE LEA is 135 MORNING GLEN DR, Suwanee 30024. This doctor license is current. The license was granted 12/05/2003 and expired on 10/31/2016.

Georgia

Composite Medical Board

MENDOZA, NICOLE LEA
Medical - Physician Assistant
License number
004188
Date granted
12/05/2003
Date expires
10/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
135 MORNING GLEN DR
georgiadoctors.net
ID 38100139
LAST UPDATED 2024-03-05 09:29:40 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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