License holder summary

MODDRELL, GWENDOLYN LOUISE, MD is a Medical - Physician licensed to practice in Georgia. The address on file for MODDRELL, GWENDOLYN LOUISE, MD is 316 NORTH MAIN STREET, Swainsboro 30401. This doctor license is not current. The license was granted 09/08/1983 and expired on 09/30/2013.

Georgia

Composite Medical Board

MODDRELL, GWENDOLYN LOUISE, MD
Medical - Physician
License number
025511
Date granted
09/08/1983
Date expires
09/30/2013
Class
Medical - Physician
Status
Lapsed
Address
316 NORTH MAIN STREET
georgiadoctors.net
ID 38066181
LAST UPDATED 2024-04-28 01:09:12 UTC

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