INGRAM, PHILIP RANDALL
Medical - Physician Assistant
Georgia 001132 Lapsed
This Georgia license was held by INGRAM, PHILIP RANDALL. The license is no longer active. It was granted on 08/09/1984 and expired on 12/31/1992
LICENSE DETAILS
- License Number: 001132
- Category: Physician Assistant
- Status: Lapsed
- Date Granted: 08/09/1984 (almost 40 years ago)
- Expiry Date: 12/31/1992 (over 31 years ago)
LOCATIONS
A Address
1611 SANDS ROAD, Marietta 30067