BLACKBURNE, KIZUWANDA ONI
Medical - Physician Assistant
Georgia 005126 Active
This Georgia license is held by BLACKBURNE, KIZUWANDA ONI. The license is currently active. It was granted on 09/14/2007 and expired on 07/31/2017
LICENSE DETAILS
- License Number: 005126
- Category: Physician Assistant
- Status: Active
- Date Granted: 09/14/2007 (over 17 years ago)
- Expiry Date: 07/31/2017 (almost 8 years ago)
LOCATIONS
A Address
1601 SCENIC PINES, Lawrenceville 30044
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