License holder summary

FENDER, MARK WILLIAM is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for FENDER, MARK WILLIAM is 2505 MUIR FIELD RD, Madison 53719. This doctor license is not current. The license was granted 02/11/1988 and expired on 12/31/1992.

Georgia

Composite Medical Board

FENDER, MARK WILLIAM
Medical - Physician Assistant
License number
001780
Date granted
02/11/1988
Date expires
12/31/1992
Class
Medical - Physician Assistant
Status
Lapsed
Address
2505 MUIR FIELD RD
georgiadoctors.net
ID 38097951
LAST UPDATED 2026-04-30 08:23:35 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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