License holder summary

JOSE, PRICILLA SUSAN is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for JOSE, PRICILLA SUSAN is 1249 FOUNTAIN OAKS COURT, Lawrenceville 30043. This doctor license is not current. The license was granted 09/15/2006 and expired on 07/31/2008.

Georgia

Composite Medical Board

JOSE, PRICILLA SUSAN
Medical - Physician Assistant
License number
004867
Date granted
09/15/2006
Date expires
07/31/2008
Class
Medical - Physician Assistant
Status
Lapsed
Address
1249 FOUNTAIN OAKS COURT
georgiadoctors.net
ID 38099232
LAST UPDATED 2024-03-16 13:35:08 UTC

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