THIELE, MARK A
Medical - Physician Assistant
Georgia 004560 Lapsed
This Georgia license was held by THIELE, MARK A. The license is no longer active. It was granted on 07/14/2005 and expired on 09/30/2008
LICENSE DETAILS
- License Number: 004560
- Category: Physician Assistant
- Status: Lapsed
- Date Granted: 07/14/2005 (almost 20 years ago)
- Expiry Date: 09/30/2008 (over 16 years ago)
LOCATIONS
A Address
3334 CAPITAL MEDICAL BLVD., | STE. 400, TALLAHASSEE 32308