License holder summary

BLANK, ELIZABETH NICOLE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for BLANK, ELIZABETH NICOLE is 1507 HICKORY VALLEY RD | APT# V176, CHATTANOOGA 37421. This doctor license is current. The license was granted 12/15/2014 and expired on 08/31/2016.

Georgia

Composite Medical Board

BLANK, ELIZABETH NICOLE
Medical - Physician Assistant
License number
007450
Date granted
12/15/2014
Date expires
08/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
1507 HICKORY VALLEY RD | APT# V176
georgiadoctors.net
ID 38096645
LAST UPDATED 2024-02-27 11:29:50 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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