License holder summary

KASIAH, FANTA E is a Medical - Resident Physician licensed to practice in Georgia. The address on file for KASIAH, FANTA E is 1459 LANEY WALKER BLVD | AE-3042, Augusta 30912. This doctor license is not current. The license was granted 05/26/2010 and expired on 09/13/2012.

Georgia

Composite Medical Board

KASIAH, FANTA E
Medical - Resident Physician
License number
004212
Date granted
05/26/2010
Date expires
09/13/2012
Class
Medical - Resident Physician
Status
Lapsed
Address
1459 LANEY WALKER BLVD | AE-3042
georgiadoctors.net
ID 38117435
LAST UPDATED 2026-03-30 08:41:28 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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