License holder summary

LANE, PETER IVAN is a Medical - Perfusionist licensed to practice in Georgia. The address on file for LANE, PETER IVAN is 4642 BLACKWATER DRIVE, Valdosta 31602. This doctor license is current. The license was granted 10/06/2005 and expired on 02/28/2017.

Georgia

Composite Medical Board

LANE, PETER IVAN
Medical - Perfusionist
License number
000128
Date granted
10/06/2005
Date expires
02/28/2017
Class
Medical - Perfusionist
Status
Active
Address
4642 BLACKWATER DRIVE
georgiadoctors.net
ID 38113358
LAST UPDATED 2024-04-29 22:56:51 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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