License holder summary

RUSSELL, ROGER KEITH is a Medical - Provisional Physician licensed to practice in Georgia. The address on file for RUSSELL, ROGER KEITH is PO BOX 779, Pearson 31642. This doctor license is not current. The license was granted 02/07/1975 and expired on 06/30/1998.

Georgia

Composite Medical Board

RUSSELL, ROGER KEITH
Medical - Provisional Physician
License number
000008
Date granted
02/07/1975
Date expires
06/30/1998
Class
Medical - Provisional Physician
Status
Surrendered
Address
PO BOX 779
georgiadoctors.net
ID 38122090
LAST UPDATED 2024-02-26 06:17:37 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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