License holder summary

BALKCOM, ICHABOD LAFAYETTE, MD is a Medical - Physician licensed to practice in Georgia. The address on file for BALKCOM, ICHABOD LAFAYETTE, MD is ROUTE 3 | BOX 555, SULPHUR SPRING 75482. This doctor license is not current. The license was granted 08/07/1985 and expired on 12/31/1999.

Georgia

Composite Medical Board

BALKCOM, ICHABOD LAFAYETTE, MD
Medical - Physician
License number
027715
Date granted
08/07/1985
Date expires
12/31/1999
Class
Medical - Physician
Status
Lapsed
Address
ROUTE 3 | BOX 555
georgiadoctors.net
ID 38026453
LAST UPDATED 2024-02-05 19:58:20 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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