LANE, PETER IVAN
Medical - Perfusionist
Georgia 000128 Active
This Georgia license is held by LANE, PETER IVAN. The license is currently active. It was granted on 10/06/2005 and expired on 02/28/2017
LICENSE DETAILS
- License Number: 000128
- Category: Perfusionist
- Status: Active
- Date Granted: 10/06/2005 (over 19 years ago)
- Expiry Date: 02/28/2017 (about 8 years ago)
LOCATIONS
A Address
4642 BLACKWATER DRIVE, Valdosta 31602
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