License holder summary

CHURCH, NICHOLAS is a Medical - Resident Physician licensed to practice in Georgia. The address on file for CHURCH, NICHOLAS is 342 5TH STREET NE, Atlanta 30308. This doctor license is not current. The license was granted 09/03/2004 and expired on 06/30/2005.

Georgia

Composite Medical Board

CHURCH, NICHOLAS
Medical - Resident Physician
License number
000935
Date granted
09/03/2004
Date expires
06/30/2005
Class
Medical - Resident Physician
Status
Lapsed
Address
342 5TH STREET NE
georgiadoctors.net
ID 38115157
LAST UPDATED 2024-04-08 23:10:58 UTC

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