ELLIS-WEST, GRACIELA C
Medical - Physician Assistant
Georgia 002724 Lapsed
This Georgia license was held by ELLIS-WEST, GRACIELA C. The license is no longer active. It was granted on 02/08/1996 and expired on 12/31/2006
LICENSE DETAILS
- License Number: 002724
- Category: Physician Assistant
- Status: Lapsed
- Date Granted: 02/08/1996 (over 29 years ago)
- Expiry Date: 12/31/2006 (over 18 years ago)
LOCATIONS
A Address
256 POPLAR SPRINGS RD, Hoschton 30548