ANDERSON, RUSSELL W
Medical - Resident Physician
Georgia 001007 Lapsed
This Georgia license was held by ANDERSON, RUSSELL W. The license is no longer active. It was granted on 09/03/2004 and expired on 06/30/2006
LICENSE DETAILS
- License Number: 001007
- Category: Resident Physician
- Status: Lapsed
- Date Granted: 09/03/2004 (over 20 years ago)
- Expiry Date: 06/30/2006 (almost 19 years ago)
LOCATIONS
A Address
1120 15TH STREET, Augusta 30912