BOCCACCIO, KENNETH PAUL
Medical - Physician Assistant
Georgia 002276 Lapsed
This Georgia license was held by BOCCACCIO, KENNETH PAUL. The license is no longer active. It was granted on 04/02/1992 and expired on 12/31/1992
LICENSE DETAILS
- License Number: 002276
- Category: Physician Assistant
- Status: Lapsed
- Date Granted: 04/02/1992 (about 32 years ago)
- Expiry Date: 12/31/1992 (over 31 years ago)
LOCATIONS
A Address
5015 N WOODBRIDGE TRAIL, Stone Mountain 30088