PRESTON, SHADE RAYMOND
Medical - Resident Physician
Georgia 000325 Lapsed
This Georgia license was held by PRESTON, SHADE RAYMOND. The license is no longer active. It was granted on 07/02/2004 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 000325
- Category: Resident Physician
- Status: Lapsed
- Date Granted: 07/02/2004 (almost 21 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
763 MICHAELS CREEK, Evans 30809