License holder summary

CROCKETT, SAMUEL ROBERT II, MD is a Medical - Physician licensed to practice in Georgia. The address on file for CROCKETT, SAMUEL ROBERT II, MD is 56 TUDOR COURT M, TIMONIUM 21093. This doctor license is not current. The license was granted 04/06/1995 and expired on 12/31/1999.

Georgia

Composite Medical Board

CROCKETT, SAMUEL ROBERT II, MD
Medical - Physician
License number
039767
Date granted
04/06/1995
Date expires
12/31/1999
Class
Medical - Physician
Status
Lapsed
Address
56 TUDOR COURT M
georgiadoctors.net
ID 38036544
LAST UPDATED 2024-04-14 21:57:59 UTC

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