WILDE, ILAN ERICH
Medical - Physician Assistant
Georgia 004580 Lapsed
This Georgia license was held by WILDE, ILAN ERICH. The license is no longer active. It was granted on 08/05/2005 and expired on 02/29/2008
LICENSE DETAILS
- License Number: 004580
- Category: Physician Assistant
- Status: Lapsed
- Date Granted: 08/05/2005 (almost 20 years ago)
- Expiry Date: 02/29/2008 (about 17 years ago)
LOCATIONS
A Address
303 P.O. 349 | GA, Blakely 39823