PICHARDO, INGRID RAFAELA

Medical - Physician Assistant

Georgia  003684   Lapsed

This Georgia license was held by PICHARDO, INGRID RAFAELA. The license is no longer active. It was granted on 08/03/2001 and expired on 12/31/2002

LICENSE DETAILS

  • License Number: 003684
  • Category: Physician Assistant
  • Status: Lapsed
  • Date Granted: 08/03/2001 (almost 23 years ago)
  • Expiry Date: 12/31/2002 (over 21 years ago)

LOCATIONS

A Address

1005 DURBIN PARKE DR, Jacksonville 32259