License holder summary

BOCCACCIO, KENNETH PAUL is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for BOCCACCIO, KENNETH PAUL is 5015 N WOODBRIDGE TRAIL, Stone Mountain 30088. This doctor license is not current. The license was granted 04/02/1992 and expired on 12/31/1992.

Georgia

Composite Medical Board

BOCCACCIO, KENNETH PAUL
Medical - Physician Assistant
License number
002276
Date granted
04/02/1992
Date expires
12/31/1992
Class
Medical - Physician Assistant
Status
Lapsed
Address
5015 N WOODBRIDGE TRAIL
georgiadoctors.net
ID 38096671
LAST UPDATED 2024-04-03 15:25:20 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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