License holder summary

HICHKAD, LISA JEAN BOUCHER is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for HICHKAD, LISA JEAN BOUCHER is 160 DEER RIDGE TRAIL, Macon 31210. This doctor license is current. The license was granted 04/07/1994 and expired on 10/31/2016.

Georgia

Composite Medical Board

HICHKAD, LISA JEAN BOUCHER
Medical - Physician Assistant
License number
002499
Date granted
04/07/1994
Date expires
10/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
160 DEER RIDGE TRAIL
georgiadoctors.net
ID 38098741
LAST UPDATED 2024-03-21 19:14:29 UTC

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