License holder summary

PORT, DOUGLAS ROBERT, DO is a Medical - Physician licensed to practice in Georgia. The address on file for PORT, DOUGLAS ROBERT, DO is 422 45TH STREET #4, KENOSHA 53140. This doctor license is not current. The license was granted 12/03/1999 and expired on 12/31/2001.

Georgia

Composite Medical Board

PORT, DOUGLAS ROBERT, DO
Medical - Physician
License number
048292
Date granted
12/03/1999
Date expires
12/31/2001
Class
Medical - Physician
Status
Inactive
Address
422 45TH STREET #4
georgiadoctors.net
ID 38073525
LAST UPDATED 2021-05-13 14:29:08 UTC

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