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 The license is no longer active.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