License holder summary

DEAVENS, TODD WESLEY is a Medical - Resident Physician licensed to practice in Georgia. The address on file for DEAVENS, TODD WESLEY is 1900 NW 107 STREET, MIAMI 33167. This doctor license is not current. The license was granted 06/30/2011 and expired on 06/30/2014.

Georgia

Composite Medical Board

DEAVENS, TODD WESLEY
Medical - Resident Physician
License number
005312
Date granted
06/30/2011
Date expires
06/30/2014
Class
Medical - Resident Physician
Status
Lapsed
Address
1900 NW 107 STREET
georgiadoctors.net
ID 38115496
LAST UPDATED 2024-03-28 10:55:23 UTC

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