Georgia
Composite Medical Board
KUSUMA, YULIANTY DWI
Medical - Resident Physician
License number
001671
Date granted
07/14/2005
Date expires
06/30/2008
Class
Medical - Resident Physician
Status
Lapsed
Address
2 TIDEWATER WAY
georgiadoctors.net
ID 38117771
LAST UPDATED 2026-04-28 23:17:43 UTC
LAST UPDATED 2026-04-28 23:17:43 UTC
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