License holder summary

FORT, WAYNE DOUGLAS is a Medical - Respiratory Care Professional licensed to practice in Georgia. The address on file for FORT, WAYNE DOUGLAS is 941 POPPLETON DRIVE, Hinesville 31313. This doctor license is current. The license was granted 12/05/1996 and expired on 07/31/2017.

Georgia

Composite Medical Board

FORT, WAYNE DOUGLAS
Medical - Respiratory Care Professional
License number
003848
Date granted
12/05/1996
Date expires
07/31/2017
Class
Medical - Respiratory Care Professional
Status
Active
Address
941 POPPLETON DRIVE
georgiadoctors.net
ID 38105724
LAST UPDATED 2024-04-08 19:16:01 UTC

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