BLAICH, PHILLIP WAYNE

Medical - Physician Assistant

Georgia  003737  

This Georgia license was held by BLAICH, PHILLIP WAYNE. The license is no longer active. It was granted on 12/07/2001 and expired on 12/31/2015

LICENSE DETAILS

  • License Number: 003737
  • Category: Physician Assistant
  • Date Granted: 12/07/2001 (over 23 years ago)
  • Expiry Date: 12/31/2015 (over 9 years ago)

LOCATIONS

A Address

60 EXCHANGE STRET, STE. B-7, Richmond Hill 31324