License holder summary

ITACY, RAYLLENSONS is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for ITACY, RAYLLENSONS is 488 KENNESAW AVE., N.W. | SUITE 200, Marietta 30060. This doctor license is current. The license was granted 06/30/2011 and expired on 03/31/2017.

Georgia

Composite Medical Board

ITACY, RAYLLENSONS
Medical - Physician Assistant
License number
006147
Date granted
06/30/2011
Date expires
03/31/2017
Class
Medical - Physician Assistant
Status
Active
Address
488 KENNESAW AVE., N.W. | SUITE 200
georgiadoctors.net
ID 38099012
LAST UPDATED 2026-04-29 10:02:32 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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