WANNAMAKER, LISA MARIE, DO

Medical - Physician

Georgia  055462   Active

This Georgia license is held by WANNAMAKER, LISA MARIE, DO. The license is currently active. It was granted on 10/08/2004 and expired on 12/31/2017

LICENSE DETAILS

  • License Number: 055462
  • Category: Physician
  • Status: Active
  • Date Granted: 10/08/2004 (over 19 years ago)
  • Expiry Date: 12/31/2017 (over 6 years ago)

LOCATIONS

A Address

MCG STUDENT HEALTH SERVICES | 1120 15TH ST. AF-1040, Augusta 30912