Georgia
Composite Medical Board
PETRAK, RUSSELL MARTIN, MD
Medical - Physician
License number
042917
Date granted
12/05/1996
Date expires
12/31/1999
Class
Medical - Physician
Status
Lapsed
Address
1 SALT CREEK LANE, STE 105
georgiadoctors.net
ID 38072590
LAST UPDATED 2024-01-21 07:46:57 UTC
LAST UPDATED 2024-01-21 07:46:57 UTC
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