AMMON RAY WADDELL - Physician Assistant License in Georgia | # 085006199

AMMON RAY WADDELL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006199

License Status

NOT RENEWED

Business

N

First Name

AMMON

Middle

RAY

Last Name

WADDELL

Business Name

AMMON RAY WADDELL

Original Issue Date

06/02/2017

Effective Date

03/29/2018

Expiration Date

03/01/2020

State

GA

Ever Disciplined

N

LastModifiedDate

11/24/2020