License holder summary

BLUE PAI, INDIA MOONDANCER is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for BLUE PAI, INDIA MOONDANCER is 117 VINTAGE TRAIL, Mcdonough 30253. This doctor license is current. The license was granted 11/06/2015 and expired on 08/31/2017.

Georgia

Composite Medical Board

BLUE PAI, INDIA MOONDANCER
Medical - Physician Assistant
License number
007810
Date granted
11/06/2015
Date expires
08/31/2017
Class
Medical - Physician Assistant
Status
Active
Address
117 VINTAGE TRAIL
georgiadoctors.net
ID 38096667
LAST UPDATED 2026-03-14 18:12:53 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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