License holder summary

KIDWELL, MARY ANNE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for KIDWELL, MARY ANNE is 126 CARDELL FARMS RD, Locust Grove 30248. This doctor license is not current. The license was granted 11/03/2000 and expired on 12/31/2004.

Georgia

Composite Medical Board

KIDWELL, MARY ANNE
Medical - Physician Assistant
License number
003531
Date granted
11/03/2000
Date expires
12/31/2004
Class
Medical - Physician Assistant
Status
Lapsed
Address
126 CARDELL FARMS RD
georgiadoctors.net
ID 38099349
LAST UPDATED 2024-05-04 15:47:53 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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