FAGERBERG, KRISTYN TIFFANY HODES, MD
Medical - Physician
Georgia 043607 Lapsed
This Georgia license was held by FAGERBERG, KRISTYN TIFFANY HODES, MD. The license is no longer active. It was granted on 06/05/1997 and expired on 12/31/2003
LICENSE DETAILS
- License Number: 043607
- Category: Physician
- Status: Lapsed
- Date Granted: 06/05/1997 (almost 28 years ago)
- Expiry Date: 12/31/2003 (over 21 years ago)
LOCATIONS
A Address
2506 S. LAMAR BLVD, AUSTIN 78704