MACON, PHILIP FREDERICKE, MD
Medical - Physician
Georgia 011414 Surrendered
This Georgia license was held by MACON, PHILIP FREDERICKE, MD. The license is no longer active. It was granted on 07/27/1966 and expired on 09/30/2013
LICENSE DETAILS
- License Number: 011414
- Category: Physician
- Status: Surrendered
- Date Granted: 07/27/1966 (almost 59 years ago)
- Expiry Date: 09/30/2013 (over 11 years ago)
LOCATIONS
A Address
8847 MAYSVILLE RD 30558