CRISCUOLO, TIMOTHY JOHN

Medical - Physician Assistant

Georgia  003471   Lapsed

This Georgia license was held by CRISCUOLO, TIMOTHY JOHN. The license is no longer active. It was granted on 05/05/2000 and expired on 12/31/2006

LICENSE DETAILS

  • License Number: 003471
  • Category: Physician Assistant
  • Status: Lapsed
  • Date Granted: 05/05/2000 (about 25 years ago)
  • Expiry Date: 12/31/2006 (over 18 years ago)

LOCATIONS

A Address

3705 SEDGEFIELD DRIVE, Valdosta 31605