License holder summary

THIELE, MARK A is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for THIELE, MARK A is 3334 CAPITAL MEDICAL BLVD., | STE. 400, TALLAHASSEE 32308. This doctor license is not current. The license was granted 07/14/2005 and expired on 09/30/2008.

Georgia

Composite Medical Board

THIELE, MARK A
Medical - Physician Assistant
License number
004560
Date granted
07/14/2005
Date expires
09/30/2008
Class
Medical - Physician Assistant
Status
Lapsed
Address
3334 CAPITAL MEDICAL BLVD., | STE. 400
georgiadoctors.net
ID 38102007
LAST UPDATED 2026-05-15 21:46:14 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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