License holder summary

DECANTILLON, KEVIN RICHARD is a Medical - Respiratory Care Professional licensed to practice in Georgia. The address on file for DECANTILLON, KEVIN RICHARD is 2801 HOLLYWOOD DRIVE, Decatur 30033. This doctor license is not current. The license was granted 08/04/1994 and expired on 06/30/2006.

Georgia

Composite Medical Board

DECANTILLON, KEVIN RICHARD
Medical - Respiratory Care Professional
License number
002174
Date granted
08/04/1994
Date expires
06/30/2006
Class
Medical - Respiratory Care Professional
Status
Lapsed
Address
2801 HOLLYWOOD DRIVE
georgiadoctors.net
ID 38104996
LAST UPDATED 2024-03-28 00:49:13 UTC

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