ANTONIO, LERISSA ANN
Medical - Resident Physician
Georgia 004671 Lapsed
This Georgia license was held by ANTONIO, LERISSA ANN. The license is no longer active. It was granted on 07/07/2010 and expired on 06/30/2013
LICENSE DETAILS
- License Number: 004671
- Category: Resident Physician
- Status: Lapsed
- Date Granted: 07/07/2010 (about 16 years ago)
- Expiry Date: 06/30/2013 (about 13 years ago)
LOCATIONS
A Address
4700 WATERS AVE, Savannah 31404