License holder summary

ANDERSON, RUSSELL W, DO is a Medical - Physician licensed to practice in Georgia. The address on file for ANDERSON, RUSSELL W, DO is 1120 15TH STREET, Augusta 30912. This doctor license is not current. The license was granted 10/06/2005 and expired on 11/30/2007.

Georgia

Composite Medical Board

ANDERSON, RUSSELL W, DO
Medical - Physician
License number
056948
Date granted
10/06/2005
Date expires
11/30/2007
Class
Medical - Physician
Status
Lapsed
Address
1120 15TH STREET
georgiadoctors.net
ID 38024748
LAST UPDATED 2024-03-11 19:47:31 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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