License holder summary

BIVENS, STEPHANIE GWYNN is a Medical - Respiratory Care Professional licensed to practice in Georgia. The address on file for BIVENS, STEPHANIE GWYNN is 117 DUNCAN DRIVE, Cartersville 30120. This doctor license is not current. The license was granted 08/04/1994 and expired on 06/30/1998.

Georgia

Composite Medical Board

BIVENS, STEPHANIE GWYNN
Medical - Respiratory Care Professional
License number
002133
Date granted
08/04/1994
Date expires
06/30/1998
Class
Medical - Respiratory Care Professional
Status
Lapsed
Address
117 DUNCAN DRIVE
georgiadoctors.net
ID 38103465
LAST UPDATED 2024-02-29 04:32:59 UTC

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