License holder summary

ENSTROM, TIMOTHY JOHN is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for ENSTROM, TIMOTHY JOHN is 566 RANKIN ST NE, Atlanta 30308. This doctor license is not current. The license was granted 04/04/1991 and expired on 12/31/1992.

Georgia

Composite Medical Board

ENSTROM, TIMOTHY JOHN
Medical - Physician Assistant
License number
002202
Date granted
04/04/1991
Date expires
12/31/1992
Class
Medical - Physician Assistant
Status
Lapsed
Address
566 RANKIN ST NE
georgiadoctors.net
ID 38097859
LAST UPDATED 2024-03-11 18:22:11 UTC

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