Georgia
Composite Medical Board
TABE-EBOB, TABI
Medical - Resident Physician
License number
002551
Date granted
06/29/2007
Date expires
06/30/2010
Class
Medical - Resident Physician
Status
Lapsed
Address
5825 LARCH LANE
georgiadoctors.net
ID 38120973
LAST UPDATED 2026-03-17 08:34:35 UTC
LAST UPDATED 2026-03-17 08:34:35 UTC
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