License holder summary

CRISCUOLO, TIMOTHY JOHN is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for CRISCUOLO, TIMOTHY JOHN is 3705 SEDGEFIELD DRIVE, Valdosta 31605. This doctor license is not current. The license was granted 05/05/2000 and expired on 12/31/2006.

Georgia

Composite Medical Board

CRISCUOLO, TIMOTHY JOHN
Medical - Physician Assistant
License number
003471
Date granted
05/05/2000
Date expires
12/31/2006
Class
Medical - Physician Assistant
Status
Lapsed
Address
3705 SEDGEFIELD DRIVE
georgiadoctors.net
ID 38097375
LAST UPDATED 2024-04-12 13:45:00 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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