License holder summary

WAN, SAN, MD is a Medical - Physician licensed to practice in Georgia. The address on file for WAN, SAN, MD is 840 FIRESIDE WAY, Stone Mountain 30083. This doctor license is not current. The license was granted 06/12/1979 and expired on 12/31/1981.

Georgia

Composite Medical Board

WAN, SAN, MD
Medical - Physician
License number
020618
Date granted
06/12/1979
Date expires
12/31/1981
Class
Medical - Physician
Status
Lapsed
Address
840 FIRESIDE WAY
georgiadoctors.net
ID 38090537
LAST UPDATED 2026-03-24 17:07:39 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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