Georgia
Composite Medical Board
VAN DEVENTER, PHILIP, MD
Medical - Physician
License number
012754
Date granted
10/14/1969
Date expires
12/31/1900
Class
Medical - Physician
Status
Lapsed
Address
1260 OAK GROVE DR.
georgiadoctors.net
ID 38089048
LAST UPDATED 2026-04-21 21:24:48 UTC
LAST UPDATED 2026-04-21 21:24:48 UTC
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