VAN HORNE, DIANE CAROL
Medical - Resident Physician
Georgia 001700 Lapsed
This Georgia license was held by VAN HORNE, DIANE CAROL. The license is no longer active. It was granted on 09/07/2005 and expired on 06/30/2006
LICENSE DETAILS
- License Number: 001700
- Category: Resident Physician
- Status: Lapsed
- Date Granted: 09/07/2005 (almost 19 years ago)
- Expiry Date: 06/30/2006 (almost 18 years ago)
LOCATIONS
A Address
304 SHORTER AVENUE, SUITE 201 | ATTN: VICKIE WILES, Rome 30162