CACCAM, IAN SANPEDRO, MD
Medical - Physician
Georgia 052061 Lapsed
This Georgia license was held by CACCAM, IAN SANPEDRO, MD. The license is no longer active. It was granted on 10/04/2002 and expired on 12/31/2005
LICENSE DETAILS
- License Number: 052061
- Category: Physician
- Status: Lapsed
- Date Granted: 10/04/2002 (over 22 years ago)
- Expiry Date: 12/31/2005 (over 19 years ago)
LOCATIONS
A Address
1711 BELMONTE AVE, Jacksonville 32207