License holder summary

MARTIN, LEONARD T JR is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for MARTIN, LEONARD T JR is 3809 CRESWELL AVE., SHREVEPORT 71106. This doctor license is not current. The license was granted 12/05/1991 and expired on 07/31/2014.

Georgia

Composite Medical Board

MARTIN, LEONARD T JR
Medical - Physician Assistant
License number
002248
Date granted
12/05/1991
Date expires
07/31/2014
Class
Medical - Physician Assistant
Status
Lapsed
Address
3809 CRESWELL AVE.
georgiadoctors.net
ID 38099915
LAST UPDATED 2024-03-28 18:19:44 UTC

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