Georgia
Composite Medical Board
THEBAUT, BEN ROBERT JR, MD
Medical - Physician
License number
010296
Date granted
07/18/1963
Date expires
05/31/2013
Class
Medical - Physician
Status
Lapsed
Address
11099 OAKWAY CIRCLE
georgiadoctors.net
ID 38086879
LAST UPDATED 2026-04-24 19:31:05 UTC
LAST UPDATED 2026-04-24 19:31:05 UTC
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