SPIVAK, SCOT JAY, MD
Medical - Physician
Georgia 047536 Lapsed
This Georgia license was held by SPIVAK, SCOT JAY, MD. The license is no longer active. It was granted on 07/08/1999 and expired on 12/31/2005
LICENSE DETAILS
- License Number: 047536
- Category: Physician
- Status: Lapsed
- Date Granted: 07/08/1999 (almost 25 years ago)
- Expiry Date: 12/31/2005 (over 18 years ago)
LOCATIONS
A Address
1202 13TH AVENUE SE, Decatur 35601