KROGER, SHAN MICHAEL

Medical - Physician Assistant

Georgia  004474   Lapsed

This Georgia license was held by KROGER, SHAN MICHAEL. The license is no longer active. It was granted on 03/04/2005 and expired on 12/31/2008

LICENSE DETAILS

  • License Number: 004474
  • Category: Physician Assistant
  • Status: Lapsed
  • Date Granted: 03/04/2005 (over 20 years ago)
  • Expiry Date: 12/31/2008 (over 16 years ago)

LOCATIONS

A Address

1130 MONTCLAIR DRIVE, Hinesville 31313