Georgia
Composite Medical Board
RUSSELL, ROGER KEITH
Medical - Provisional Physician
License number
000008
Date granted
02/07/1975
Date expires
06/30/1998
Class
Medical - Provisional Physician
Status
Surrendered
Address
PO BOX 779
georgiadoctors.net
ID 38122090
LAST UPDATED 2024-03-24 19:33:17 UTC
LAST UPDATED 2024-03-24 19:33:17 UTC
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