License holder summary

LAKE, SAMANTHA ANN is a Medical - Resident Physician licensed to practice in Georgia. The address on file for LAKE, SAMANTHA ANN is 304 SHORTER AVE | SUITE 201, Rome 30165. This doctor license is current. The license was granted 06/07/2016 and expired on 06/30/2017.

Georgia

Composite Medical Board

LAKE, SAMANTHA ANN
Medical - Resident Physician
License number
008362
Date granted
06/07/2016
Date expires
06/30/2017
Class
Medical - Resident Physician
Status
Active
Address
304 SHORTER AVE | SUITE 201
georgiadoctors.net
ID 39556214
LAST UPDATED 2024-02-14 07:23:26 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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