License holder summary

NIEBOER, LORI SUE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for NIEBOER, LORI SUE is 2121 FOUNTAIN DRIVE, Snellville 30324. This doctor license is not current. The license was granted 05/06/2011 and expired on 08/31/2012.

Georgia

Composite Medical Board

NIEBOER, LORI SUE
Medical - Physician Assistant
License number
006100
Date granted
05/06/2011
Date expires
08/31/2012
Class
Medical - Physician Assistant
Status
Lapsed
Address
2121 FOUNTAIN DRIVE
georgiadoctors.net
ID 38100491
LAST UPDATED 2026-05-03 16:26:06 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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