Georgia
Composite Medical Board
FINA, LERA LIV, DO
Medical - Physician
License number
066488
Date granted
06/30/2011
Date expires
05/31/2017
Class
Medical - Physician
Status
Active
Address
2040 DAN PROCTOR DRIVE | SUITE 140
georgiadoctors.net
ID 38042374
LAST UPDATED 2026-05-29 22:27:16 UTC
LAST UPDATED 2026-05-29 22:27:16 UTC
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