BAGWELL, KIMBERLY NICOLE
Medical - Physician Assistant
Georgia 005436 Lapsed
This Georgia license was held by BAGWELL, KIMBERLY NICOLE. The license is no longer active. It was granted on 10/02/2008 and expired on 09/30/2010
LICENSE DETAILS
- License Number: 005436
- Category: Physician Assistant
- Status: Lapsed
- Date Granted: 10/02/2008 (over 16 years ago)
- Expiry Date: 09/30/2010 (over 14 years ago)
LOCATIONS
A Address
2408 DEODORA DRIVE, Augusta 30904