License holder summary

TREVINO, MARK JOSEPH is a Medical - Resident Physician licensed to practice in Georgia. The address on file for TREVINO, MARK JOSEPH is 1120 15TH STREET | AE-3042, Augusta 30912. This doctor license is not current. The license was granted 05/22/2009 and expired on 06/30/2012.

Georgia

Composite Medical Board

TREVINO, MARK JOSEPH
Medical - Resident Physician
License number
003649
Date granted
05/22/2009
Date expires
06/30/2012
Class
Medical - Resident Physician
Status
Lapsed
Address
1120 15TH STREET | AE-3042
georgiadoctors.net
ID 38121212
LAST UPDATED 2024-03-21 04:10:34 UTC

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