License holder summary

RAHARDJA, ANDY is a Medical - Resident Physician licensed to practice in Georgia. The address on file for RAHARDJA, ANDY is 1459 LANEY WALKER BLVD | AE-3042, Augusta 30912. This doctor license is not current. The license was granted 05/03/2011 and expired on 06/30/2016.

Georgia

Composite Medical Board

RAHARDJA, ANDY
Medical - Resident Physician
License number
004751
Date granted
05/03/2011
Date expires
06/30/2016
Class
Medical - Resident Physician
Status
In Renewal
Address
1459 LANEY WALKER BLVD | AE-3042
georgiadoctors.net
ID 38119743
LAST UPDATED 2024-02-18 14:14:26 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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