License holder summary

LIDELL, JOHN MARK is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for LIDELL, JOHN MARK is 4861 BILL GARDNER PARKWAY, Locust Grove 30248. This doctor license is current. The license was granted 06/05/1997 and expired on 08/31/2016.

Georgia

Composite Medical Board

LIDELL, JOHN MARK
Medical - Physician Assistant
License number
002952
Date granted
06/05/1997
Date expires
08/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
4861 BILL GARDNER PARKWAY
georgiadoctors.net
ID 38099676
LAST UPDATED 2024-03-12 22:16:40 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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