License holder summary

VAN DAM, RICHARD JACOB is a Medical - Resident Physician licensed to practice in Georgia. The address on file for VAN DAM, RICHARD JACOB is 1110 ROSWELL MANOR CIRCLE 30076. This doctor license is not current. The license was granted 06/23/2011 and expired on 06/30/2014.

Georgia

Composite Medical Board

VAN DAM, RICHARD JACOB
Medical - Resident Physician
License number
005188
Date granted
06/23/2011
Date expires
06/30/2014
Class
Medical - Resident Physician
Status
Lapsed
Address
1110 ROSWELL MANOR CIRCLE
georgiadoctors.net
ID 38121315
LAST UPDATED 2024-03-14 13:04:32 UTC

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