Georgia
Composite Medical Board
BLACK, BRENTON L
Medical - Resident Physician
License number
000760
Date granted
08/06/2004
Date expires
06/30/2007
Class
Medical - Resident Physician
Status
Lapsed
Address
220 UNDERWOOD ST.
georgiadoctors.net
ID 38114562
LAST UPDATED 2024-04-16 15:08:36 UTC
LAST UPDATED 2024-04-16 15:08:36 UTC
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