License holder summary

MIXON, DIANNE SISSON is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for MIXON, DIANNE SISSON is 714 NORTH WEST BROAD STREET, Lyons 30436. This doctor license is current. The license was granted 02/09/1978 and expired on 07/31/2018.

Georgia

Composite Medical Board

MIXON, DIANNE SISSON
Medical - Physician Assistant
License number
000330
Date granted
02/09/1978
Date expires
07/31/2018
Class
Medical - Physician Assistant
Status
Active
Address
714 NORTH WEST BROAD STREET
georgiadoctors.net
ID 38100241
LAST UPDATED 2024-03-26 10:59:29 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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