Georgia
Composite Medical Board
CUI, DI
Medical - Resident Physician
License number
004014
Date granted
07/09/2009
Date expires
06/30/2013
Class
Medical - Resident Physician
Status
Lapsed
Address
1648 PIERCE DR | SUITE 327
georgiadoctors.net
ID 38115362
LAST UPDATED 2026-03-15 09:29:52 UTC
LAST UPDATED 2026-03-15 09:29:52 UTC
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