FENDER, MARK WILLIAM

Medical - Physician Assistant

Georgia  001780   Lapsed

This Georgia license was held by FENDER, MARK WILLIAM. The license is no longer active. It was granted on 02/11/1988 and expired on 12/31/1992

LICENSE DETAILS

  • License Number: 001780
  • Category: Physician Assistant
  • Status: Lapsed
  • Date Granted: 02/11/1988 (over 37 years ago)
  • Expiry Date: 12/31/1992 (over 32 years ago)

LOCATIONS

A Address

2505 MUIR FIELD RD, Madison 53719