License holder summary

MANGRUM, LISA MICHELLE is a Medical - Assistant Cosmetic Laser Practitioner licensed to practice in Georgia. The address on file for MANGRUM, LISA MICHELLE is 4279 ROSWELL RD NE | STE 601, Atlanta 30342. This doctor license is not current. The license was granted 12/04/2014 and expired on 06/30/2016.

Georgia

Composite Medical Board

MANGRUM, LISA MICHELLE
Medical - Assistant Cosmetic Laser Practitioner
License number
000138
Date granted
12/04/2014
Date expires
06/30/2016
Class
Medical - Assistant Cosmetic Laser Practitioner
Status
In Renewal
Address
4279 ROSWELL RD NE | STE 601
georgiadoctors.net
ID 38095880
LAST UPDATED 2024-04-22 05:36:20 UTC

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