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
LAST UPDATED 2024-03-28 10:55:23 UTC
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