PETTIFORD APP CANCELLED, C K

Medical - Resident Physician

Georgia  001261   Lapsed

This Georgia license was held by PETTIFORD APP CANCELLED, C K. The license is no longer active. It was granted on 06/10/2005 and expired on 06/30/2010

LICENSE DETAILS

  • License Number: 001261
  • Category: Resident Physician
  • Status: Lapsed
  • Date Granted: 06/10/2005 (almost 20 years ago)
  • Expiry Date: 06/30/2010 (almost 15 years ago)

LOCATIONS

A Address

26 TANAGER PLACE, BECKLEY 25801