License holder summary

NICLAS, TANIA MICHELLE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for NICLAS, TANIA MICHELLE is 3985 RAPID RUN RD, Lexington 40515. This doctor license is not current. The license was granted 12/07/2001 and expired on 12/31/2002.

Georgia

Composite Medical Board

NICLAS, TANIA MICHELLE
Medical - Physician Assistant
License number
003762
Date granted
12/07/2001
Date expires
12/31/2002
Class
Medical - Physician Assistant
Status
Lapsed
Address
3985 RAPID RUN RD
georgiadoctors.net
ID 38100488
LAST UPDATED 2024-04-15 17:27:04 UTC

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