ANDERSON, BLAKE JOHN
Medical - Resident Physician
Georgia 005706 Lapsed
This Georgia license was held by ANDERSON, BLAKE JOHN. The license is no longer active. It was granted on 06/20/2012 and expired on 06/30/2015
LICENSE DETAILS
- License Number: 005706
- Category: Resident Physician
- Status: Lapsed
- Date Granted: 06/20/2012 (about 12 years ago)
- Expiry Date: 06/30/2015 (about 9 years ago)
LOCATIONS
A Address
100 WOODRUFF CIR | SUITE 327, Atlanta 30322