CLACK, JUSTIN PHILIP

Medical - Physician Assistant

Georgia  006639   Active

This Georgia license is held by CLACK, JUSTIN PHILIP. The license is currently active. It was granted on 11/02/2012 and expired on 07/31/2016

LICENSE DETAILS

  • License Number: 006639
  • Category: Physician Assistant
  • Status: Active
  • Date Granted: 11/02/2012 (over 12 years ago)
  • Expiry Date: 07/31/2016 (almost 9 years ago)

LOCATIONS

A Address

795 PONCE DELEON PLACE, NE | APT. C3, Atlanta 30306