License holder summary

MAXWELL, STACY is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for MAXWELL, STACY is 2121 FOUNTAIN DR | STE E, Snellville 30078. This doctor license is not current. The license was granted 06/30/2011 and expired on 07/31/2014.

Georgia

Composite Medical Board

MAXWELL, STACY
Medical - Physician Assistant
License number
006152
Date granted
06/30/2011
Date expires
07/31/2014
Class
Medical - Physician Assistant
Status
Inactive
Address
2121 FOUNTAIN DR | STE E
georgiadoctors.net
ID 38099974
LAST UPDATED 2024-03-06 06:46:20 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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