Georgia
Composite Medical Board
VICENS, JUAN MANUEL, MD
Medical - Physician
License number
034972
Date granted
10/03/1991
Date expires
05/31/2015
Class
Medical - Physician
Status
Lapsed
Address
129 GRAYS CREEK DRIVE
georgiadoctors.net
ID 38089554
LAST UPDATED 2026-06-20 03:22:43 UTC
LAST UPDATED 2026-06-20 03:22:43 UTC
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