Georgia
Composite Medical Board
VAN HORNE, DIANE CAROL
Medical - Resident Physician
License number
001700
Date granted
09/07/2005
Date expires
06/30/2006
Class
Medical - Resident Physician
Status
Lapsed
Address
304 SHORTER AVENUE, SUITE 201 | ATTN: VICKIE WILES
georgiadoctors.net
ID 38121319
LAST UPDATED 2024-03-07 12:54:56 UTC
LAST UPDATED 2024-03-07 12:54:56 UTC
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