CICCONETTI, LIDIA A
Medical - Physician Assistant
Georgia 004161 Lapsed
This Georgia license was held by CICCONETTI, LIDIA A. The license is no longer active. It was granted on 10/03/2003 and expired on 12/31/2004
LICENSE DETAILS
- License Number: 004161
- Category: Physician Assistant
- Status: Lapsed
- Date Granted: 10/03/2003 (over 21 years ago)
- Expiry Date: 12/31/2004 (over 20 years ago)
LOCATIONS
A Address
10 PERIMETER SUMMIT BLVD. NE | APT. 3410, Atlanta 30319