License holder summary

AL-ADHAM, BASEL HATEM is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for AL-ADHAM, BASEL HATEM is 2691 MALLARD LANDING AVE, HENDERSON 89014. This doctor license is not current. The license was granted 06/04/1992 and expired on 12/31/1994.

Georgia

Composite Medical Board

AL-ADHAM, BASEL HATEM
Medical - Physician Assistant
License number
002295
Date granted
06/04/1992
Date expires
12/31/1994
Class
Medical - Physician Assistant
Status
Lapsed
Address
2691 MALLARD LANDING AVE
georgiadoctors.net
ID 38096199
LAST UPDATED 2024-04-16 06:41:43 UTC

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