License holder summary

BLACK, KATRINA DIONNE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for BLACK, KATRINA DIONNE is 583 OLD SAVANNAH ROAD, Ailey 30410. This doctor license is current. The license was granted 10/06/2005 and expired on 01/31/2018.

Georgia

Composite Medical Board

BLACK, KATRINA DIONNE
Medical - Physician Assistant
License number
004612
Date granted
10/06/2005
Date expires
01/31/2018
Class
Medical - Physician Assistant
Status
Active
Address
583 OLD SAVANNAH ROAD
georgiadoctors.net
ID 38096632
LAST UPDATED 2024-03-13 23:29:06 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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