License holder summary

MANGRAM, ALICIA JEANNINE, MD is a Medical - Physician licensed to practice in Georgia. The address on file for MANGRAM, ALICIA JEANNINE, MD is 1421 MCCOY ST, Dallas 75204. This doctor license is not current. The license was granted 12/05/1996 and expired on 12/31/2005.

Georgia

Composite Medical Board

MANGRAM, ALICIA JEANNINE, MD
Medical - Physician
License number
042887
Date granted
12/05/1996
Date expires
12/31/2005
Class
Medical - Physician
Status
Lapsed
Address
1421 MCCOY ST
georgiadoctors.net
ID 38062158
LAST UPDATED 2024-02-19 04:06:38 UTC

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