License holder summary

HOLTZCLAW, THERON JOHNNY is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for HOLTZCLAW, THERON JOHNNY is 1984 PEACHTREE RD. | SUITE 515, Atlanta 30309. This doctor license is not current. The license was granted 12/06/1990 and expired on 03/31/2016.

Georgia

Composite Medical Board

HOLTZCLAW, THERON JOHNNY
Medical - Physician Assistant
License number
002172
Date granted
12/06/1990
Date expires
03/31/2016
Class
Medical - Physician Assistant
Status
In Renewal
Address
1984 PEACHTREE RD. | SUITE 515
georgiadoctors.net
ID 38098841
LAST UPDATED 2024-03-27 13:58:01 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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