ANDERSON, RUSSELL W, DO
Medical - Physician
Georgia 056948 Lapsed
This Georgia license was held by ANDERSON, RUSSELL W, DO. The license is no longer active. It was granted on 10/06/2005 and expired on 11/30/2007
LICENSE DETAILS
- License Number: 056948
- Category: Physician
- Status: Lapsed
- Date Granted: 10/06/2005 (over 19 years ago)
- Expiry Date: 11/30/2007 (over 17 years ago)
LOCATIONS
A Address
1120 15TH STREET, Augusta 30912