BLACKMON, BILLY JACOB
Medical - Resident Physician
Georgia 001196 Lapsed
This Georgia license was held by BLACKMON, BILLY JACOB. The license is no longer active. It was granted on 06/10/2005 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 001196
- Category: Resident Physician
- Status: Lapsed
- Date Granted: 06/10/2005 (almost 20 years ago)
- Expiry Date: 06/30/2009 (almost 16 years ago)
LOCATIONS
A Address
MEDICAL COLLEGE OF GEORGIA | C/O HOLLY WALP, BUSINESS MANAGER, Augusta 30912