License holder summary

SULLIVAN, STEPHANIE TIV is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for SULLIVAN, STEPHANIE TIV is 3020 HIGHWAY 124, Snellville 30039. This doctor license is current. The license was granted 06/07/2013 and expired on 11/30/2016.

Georgia

Composite Medical Board

SULLIVAN, STEPHANIE TIV
Medical - Physician Assistant
License number
006835
Date granted
06/07/2013
Date expires
11/30/2016
Class
Medical - Physician Assistant
Status
Active
Address
3020 HIGHWAY 124
georgiadoctors.net
ID 38101888
LAST UPDATED 2024-04-07 02:11:03 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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