Georgia
Composite Medical Board
AZMAT, NAJAM, MD
Medical - Physician
License number
056512
Date granted
07/15/2005
Date expires
07/31/2013
Class
Medical - Physician
Status
Suspended
Address
707 CONFEDERATE WAY
georgiadoctors.net
ID 38025957
LAST UPDATED 2024-03-28 21:15:22 UTC
LAST UPDATED 2024-03-28 21:15:22 UTC
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