License holder summary

BOOMGARDEN, CLINTON LEE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for BOOMGARDEN, CLINTON LEE is 2065 RENAULT LANE NE, Atlanta 30345. This doctor license is current. The license was granted 08/08/1991 and expired on 07/31/2018.

Georgia

Composite Medical Board

BOOMGARDEN, CLINTON LEE
Medical - Physician Assistant
License number
002221
Date granted
08/08/1991
Date expires
07/31/2018
Class
Medical - Physician Assistant
Status
Active
Address
2065 RENAULT LANE NE
georgiadoctors.net
ID 38096699
LAST UPDATED 2024-03-19 11:18:32 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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