BACICH, JOHNATHAN NICHOLAS
Medical - Physician Assistant
Georgia 005124 Active
This Georgia license is held by BACICH, JOHNATHAN NICHOLAS. The license is currently active. It was granted on 09/14/2007 and expired on 05/31/2017
LICENSE DETAILS
- License Number: 005124
- Category: Physician Assistant
- Status: Active
- Date Granted: 09/14/2007 (over 17 years ago)
- Expiry Date: 05/31/2017 (about 8 years ago)
LOCATIONS
A Address
210 E DERENNE AVENUE | ATTN: LYSA TRINH, Savannah 31405
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