License holder summary

BANNON, MICHELLE D is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for BANNON, MICHELLE D is 205 DIXIE AVE., WILMINGTON 28403. This doctor license is not current. The license was granted 02/09/1989 and expired on 12/31/2006.

Georgia

Composite Medical Board

BANNON, MICHELLE D
Medical - Physician Assistant
License number
001985
Date granted
02/09/1989
Date expires
12/31/2006
Class
Medical - Physician Assistant
Status
Inactive
Address
205 DIXIE AVE.
georgiadoctors.net
ID 38096438
LAST UPDATED 2024-02-06 18:57:11 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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