BACON, LOUISE NICOLE
Medical - Resident Physician
Georgia 004376 Lapsed
This Georgia license was held by BACON, LOUISE NICOLE. The license is no longer active. It was granted on 06/17/2010 and expired on 06/30/2015
LICENSE DETAILS
- License Number: 004376
- Category: Resident Physician
- Status: Lapsed
- Date Granted: 06/17/2010 (about 14 years ago)
- Expiry Date: 06/30/2015 (about 9 years ago)
LOCATIONS
A Address
720 WESTVIEW DR SW, Atlanta 30310