License holder summary

TAVASSOLI, JAVAD KENNETH is a Medical - Resident Physician licensed to practice in Georgia. The address on file for TAVASSOLI, JAVAD KENNETH is 2439 MALIBU WAY, DEL MAR 92014. This doctor license is not current. The license was granted 08/06/2004 and expired on 06/30/2009.

Georgia

Composite Medical Board

TAVASSOLI, JAVAD KENNETH
Medical - Resident Physician
License number
000421
Date granted
08/06/2004
Date expires
06/30/2009
Class
Medical - Resident Physician
Status
Lapsed
Address
2439 MALIBU WAY
georgiadoctors.net
ID 38121029
LAST UPDATED 2024-04-11 01:19:32 UTC

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