License holder summary

KELLUM, ETHAN LASHA is a Medical - Resident Physician licensed to practice in Georgia. The address on file for KELLUM, ETHAN LASHA is 1459 LANEY WALKER BLVD | AE-3042, Augusta 30912. This doctor license is not current. The license was granted 06/06/2008 and expired on 06/30/2013.

Georgia

Composite Medical Board

KELLUM, ETHAN LASHA
Medical - Resident Physician
License number
003119
Date granted
06/06/2008
Date expires
06/30/2013
Class
Medical - Resident Physician
Status
Lapsed
Address
1459 LANEY WALKER BLVD | AE-3042
georgiadoctors.net
ID 38117480
LAST UPDATED 2026-03-12 13:11:02 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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