License holder summary

BROUSSARD, CAROLYN, MD is a Medical - Physician licensed to practice in Georgia. The address on file for BROUSSARD, CAROLYN, MD is 410 NEWNAN STREET | CARROLLTON PEDIATRIC CLINIC 30117. This doctor license is not current. The license was granted 02/14/1974 and expired on 08/31/2011.

Georgia

Composite Medical Board

BROUSSARD, CAROLYN, MD
Medical - Physician
License number
015853
Date granted
02/14/1974
Date expires
08/31/2011
Class
Medical - Physician
Status
Surrendered
Address
410 NEWNAN STREET | CARROLLTON PEDIATRIC CLINIC
georgiadoctors.net
ID 38030755
LAST UPDATED 2024-03-07 10:51:01 UTC

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