License holder summary

LAKE, RUSSELL WILLIAM, MD is a Medical - Physician licensed to practice in Georgia. The address on file for LAKE, RUSSELL WILLIAM, MD is 1061 HARMON AVE, Fort Stewart 31324. This doctor license is current. The license was granted 12/03/2015 and expired on 11/30/2017.

Georgia

Composite Medical Board

LAKE, RUSSELL WILLIAM, MD
Medical - Physician
License number
075198
Date granted
12/03/2015
Date expires
11/30/2017
Class
Medical - Physician
Status
Active
Address
1061 HARMON AVE
georgiadoctors.net
ID 38058228
LAST UPDATED 2024-03-26 19:06:19 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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