BRACH, BRIAN RICHARD
Medical - Physician Assistant
Georgia 002620 Revoked
This Georgia license was held by BRACH, BRIAN RICHARD. The license is no longer active. It was granted on 04/06/1995 and expired on 12/31/2004
LICENSE DETAILS
- License Number: 002620
- Category: Physician Assistant
- Status: Revoked
- Date Granted: 04/06/1995 (about 30 years ago)
- Expiry Date: 12/31/2004 (over 20 years ago)
LOCATIONS
A Address
4649 BONDALE DRIVE, Columbus 31907