ANDREA GWEN WINQUIST MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094642

License Status

INACTIVE

Business

First Name

ANDREA GWEN

Last Name

WINQUIST

Suffix

Business Name

ANDREA GWEN WINQUIST MD

Original Issue Date

12/31/1996

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ATLANTA

State

Zip

30318

County

FULTON

Ever Disciplined

LastModifiedDate

04/17/2008