License holder summary

RUSSELL, KIM MARIE LENNON is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for RUSSELL, KIM MARIE LENNON is 133 SUPERIOR AVE, Decatur 30030. This doctor license is current. The license was granted 06/04/1992 and expired on 11/30/2016.

Georgia

Composite Medical Board

RUSSELL, KIM MARIE LENNON
Medical - Physician Assistant
License number
002298
Date granted
06/04/1992
Date expires
11/30/2016
Class
Medical - Physician Assistant
Status
Active
Address
133 SUPERIOR AVE
georgiadoctors.net
ID 38101240
LAST UPDATED 2024-04-05 07:07:51 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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