BANNON, MICHELLE D
Medical - Physician Assistant
Georgia 001985 Inactive
This Georgia license was held by BANNON, MICHELLE D. The license is no longer active. It was granted on 02/09/1989 and expired on 12/31/2006
LICENSE DETAILS
- License Number: 001985
- Category: Physician Assistant
- Status: Inactive
- Date Granted: 02/09/1989 (over 36 years ago)
- Expiry Date: 12/31/2006 (over 18 years ago)
LOCATIONS
A Address
205 DIXIE AVE., WILMINGTON 28403