Georgia
Composite Medical Board
POWELL, TANISHA MICHOLE
Medical - Resident Physician
License number
005532
Date granted
05/25/2012
Date expires
06/30/2015
Class
Medical - Resident Physician
Status
Lapsed
Address
1459 LANEY WALKER BLVD | AE 3042
georgiadoctors.net
ID 38119643
LAST UPDATED 2024-03-05 19:28:06 UTC
LAST UPDATED 2024-03-05 19:28:06 UTC
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