MANISCALCO, JODI LESLIE

Medical - Physician Assistant

Georgia  002966   Lapsed

This Georgia license was held by MANISCALCO, JODI LESLIE. The license is no longer active. It was granted on 08/07/1997 and expired on 12/31/1998

LICENSE DETAILS

  • License Number: 002966
  • Category: Physician Assistant
  • Status: Lapsed
  • Date Granted: 08/07/1997 (almost 28 years ago)
  • Expiry Date: 12/31/1998 (over 26 years ago)

LOCATIONS

A Address

RR # 5, BOX 1190B, Farmington 04938