License holder summary

TJEN, SUGIARTO C is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for TJEN, SUGIARTO C is 5050 WELLINGTON WAY, Midland 31820. This doctor license is current. The license was granted 12/07/1989 and expired on 12/31/2016.

Georgia

Composite Medical Board

TJEN, SUGIARTO C
Medical - Physician Assistant
License number
002104
Date granted
12/07/1989
Date expires
12/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
5050 WELLINGTON WAY
georgiadoctors.net
ID 38102068
LAST UPDATED 2026-04-15 18:12:48 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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