License holder summary

LATHAN, SAMUEL ROBERT, MD is a Medical - Physician licensed to practice in Georgia. The address on file for LATHAN, SAMUEL ROBERT, MD is 122 OLD IVY ROAD | #17, Atlanta 30342. This doctor license is not current. The license was granted 06/12/1969 and expired on 04/30/2015.

Georgia

Composite Medical Board

LATHAN, SAMUEL ROBERT, MD
Medical - Physician
License number
012337
Date granted
06/12/1969
Date expires
04/30/2015
Class
Medical - Physician
Status
Lapsed
Address
122 OLD IVY ROAD | #17
georgiadoctors.net
ID 38058711
LAST UPDATED 2024-04-19 09:17:40 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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