License holder summary

DIEZ, MADONNA SUSAN is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for DIEZ, MADONNA SUSAN is 1201 GEORGIAN PARK, Peachtree City 30269. This doctor license is not current. The license was granted 07/13/2007 and expired on 11/30/2014.

Georgia

Composite Medical Board

DIEZ, MADONNA SUSAN
Medical - Physician Assistant
License number
005082
Date granted
07/13/2007
Date expires
11/30/2014
Class
Medical - Physician Assistant
Status
Lapsed
Address
1201 GEORGIAN PARK
georgiadoctors.net
ID 38097604
LAST UPDATED 2024-05-07 12:44:18 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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