License holder summary

BLACK, KIDESHA THERESA is a Medical - Respiratory Care Professional licensed to practice in Georgia. The address on file for BLACK, KIDESHA THERESA is 2 THOMPSON RD | 10- A, Manchester 06040. This doctor license is not current. The license was granted 10/08/2010 and expired on 10/31/2011.

Georgia

Composite Medical Board

BLACK, KIDESHA THERESA
Medical - Respiratory Care Professional
License number
008364
Date granted
10/08/2010
Date expires
10/31/2011
Class
Medical - Respiratory Care Professional
Status
Lapsed
Address
2 THOMPSON RD | 10- A
georgiadoctors.net
ID 38103472
LAST UPDATED 2024-02-22 10:52:15 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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