CLARK, MATTHEW T

Medical - Resident Physician

Georgia  000176   Lapsed

This Georgia license was held by CLARK, MATTHEW T. The license is no longer active. It was granted on 07/02/2004 and expired on 06/30/2006

LICENSE DETAILS

  • License Number: 000176
  • Category: Resident Physician
  • Status: Lapsed
  • Date Granted: 07/02/2004 (almost 21 years ago)
  • Expiry Date: 06/30/2006 (almost 19 years ago)

LOCATIONS

A Address

MEDICAL COLLEGE OF GEORGIA | 1120 15TH ST, Augusta 30912