License holder summary

MUNOZ, KEITH WAYNE SR is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for MUNOZ, KEITH WAYNE SR is 116 W THIGPEN AVE | SUITE D, Lakeland 31635. This doctor license is current. The license was granted 05/07/2004 and expired on 04/30/2018.

Georgia

Composite Medical Board

MUNOZ, KEITH WAYNE SR
Medical - Physician Assistant
License number
004279
Date granted
05/07/2004
Date expires
04/30/2018
Class
Medical - Physician Assistant
Status
Active
Address
116 W THIGPEN AVE | SUITE D
georgiadoctors.net
ID 38100374
LAST UPDATED 2024-04-06 20:06:51 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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