FISKE, DWIGHT HAZEN
Medical - Physician Assistant
Georgia 005139 Inactive
This Georgia license was held by FISKE, DWIGHT HAZEN. The license is no longer active. It was granted on 09/14/2007 and expired on 04/30/2009
LICENSE DETAILS
- License Number: 005139
- Category: Physician Assistant
- Status: Inactive
- Date Granted: 09/14/2007 (over 17 years ago)
- Expiry Date: 04/30/2009 (about 16 years ago)
LOCATIONS
A Address
902 W. 1ST STREET, TAWAS CITY 48763