Georgia
Composite Medical Board
WELLBAUM, KEVIN DAVID
Medical - Resident Physician
License number
005536
Date granted
05/25/2012
Date expires
06/30/2015
Class
Medical - Resident Physician
Status
Lapsed
Address
1459 LANEY WALKER BLVD | AE 3042
georgiadoctors.net
ID 38121572
LAST UPDATED 2026-05-13 04:37:57 UTC
LAST UPDATED 2026-05-13 04:37:57 UTC
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