Georgia
Composite Medical Board
LUMA, NASA-TATE, MD
Medical - Physician
License number
071992
Date granted
06/06/2014
Date expires
03/31/2018
Class
Medical - Physician
Status
Active
Address
10461 HENBURY STREET
georgiadoctors.net
ID 38061176
LAST UPDATED 2024-03-30 02:30:03 UTC
LAST UPDATED 2024-03-30 02:30:03 UTC
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