License holder summary

DERUSSY, PETER KIRK is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for DERUSSY, PETER KIRK is 5636 RIDING WOODS DRIVE, Hiram 30141. This doctor license is not current. The license was granted 06/09/1988 and expired on 12/31/1988.

Georgia

Composite Medical Board

DERUSSY, PETER KIRK
Medical - Physician Assistant
License number
001857
Date granted
06/09/1988
Date expires
12/31/1988
Class
Medical - Physician Assistant
Status
Lapsed
Address
5636 RIDING WOODS DRIVE
georgiadoctors.net
ID 38097566
LAST UPDATED 2024-04-08 06:04:55 UTC

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