JAMIE L KOUMOUNDOUROS - Physician Assistant License in Georgia | # 085003941

JAMIE L KOUMOUNDOUROS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003941

License Status

NOT RENEWED

Business

N

First Name

JAMIE

Middle

L

Last Name

KOUMOUNDOUROS

Business Name

JAMIE L KOUMOUNDOUROS

Original Issue Date

10/19/2010

Effective Date

08/08/2012

Expiration Date

03/01/2014

State

GA

Ever Disciplined

N

LastModifiedDate

04/08/2014