Georgia
Composite Medical Board
LARSON, SHANE LYLE, MD
Medical - Physician
License number
067238
Date granted
01/06/2012
Date expires
04/30/2017
Class
Medical - Physician
Status
Active
Address
1856 IRWIN DRIVE | BLDG 1058
georgiadoctors.net
ID 38058652
LAST UPDATED 2026-06-22 17:59:55 UTC
LAST UPDATED 2026-06-22 17:59:55 UTC
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