License holder summary

RIVERA, LISA BAZEMORE is a Medical - Resident Physician licensed to practice in Georgia. The address on file for RIVERA, LISA BAZEMORE is 1648 PIERCE DRIVE | SUITE 327, Atlanta 30322. This doctor license is not current. The license was granted 03/06/2009 and expired on 06/30/2013.

Georgia

Composite Medical Board

RIVERA, LISA BAZEMORE
Medical - Resident Physician
License number
003520
Date granted
03/06/2009
Date expires
06/30/2013
Class
Medical - Resident Physician
Status
Lapsed
Address
1648 PIERCE DRIVE | SUITE 327
georgiadoctors.net
ID 38119943
LAST UPDATED 2024-03-23 06:36:59 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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