Georgia
Composite Medical Board
VAN SICKLE, KENT RODERICK, MD
Medical - Physician
License number
053892
Date granted
10/03/2003
Date expires
12/31/2005
Class
Medical - Physician
Status
Lapsed
Address
1364 CLIFTON ROAD, NE | SUITE H124
georgiadoctors.net
ID 38089119
LAST UPDATED 2026-05-26 07:01:12 UTC
LAST UPDATED 2026-05-26 07:01:12 UTC
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