GAINES, ERIC DOUGLAS

Medical - Physician Assistant

Georgia  005557   Lapsed

This Georgia license was held by GAINES, ERIC DOUGLAS. The license is no longer active. It was granted on 04/02/2009 and expired on 08/31/2012

LICENSE DETAILS

  • License Number: 005557
  • Category: Physician Assistant
  • Status: Lapsed
  • Date Granted: 04/02/2009 (about 15 years ago)
  • Expiry Date: 08/31/2012 (almost 12 years ago)

LOCATIONS

A Address

1320 BRIARVISTA WAY, Atlanta 30329