License holder summary

LAKE, TEKLEWOLD H is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for LAKE, TEKLEWOLD H is 2227 SPRING STONE COURT, BUSFORD 30519. This doctor license is current. The license was granted 02/05/2010 and expired on 02/28/2017.

Georgia

Composite Medical Board

LAKE, TEKLEWOLD H
Medical - Physician Assistant
License number
005767
Date granted
02/05/2010
Date expires
02/28/2017
Class
Medical - Physician Assistant
Status
Active
Address
2227 SPRING STONE COURT
georgiadoctors.net
ID 38099512
LAST UPDATED 2026-04-22 04:30:59 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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