DOUGLAS, LACY ALVIN
Medical - Physician Assistant
Georgia 002388 Lapsed
This Georgia license was held by DOUGLAS, LACY ALVIN. The license is no longer active. It was granted on 04/08/1993 and expired on 12/31/2002
LICENSE DETAILS
- License Number: 002388
- Category: Physician Assistant
- Status: Lapsed
- Date Granted: 04/08/1993 (about 32 years ago)
- Expiry Date: 12/31/2002 (over 22 years ago)
LOCATIONS
A Address
2034 CORAL ST, NAVARRE 32566