FULP, SAM RUSSELL, MD
Medical - Physician
Georgia 026522 Lapsed
This Georgia license was held by FULP, SAM RUSSELL, MD. The license is no longer active. It was granted on 08/08/1984 and expired on 12/31/1989
LICENSE DETAILS
- License Number: 026522
- Category: Physician
- Status: Lapsed
- Date Granted: 08/08/1984 (almost 40 years ago)
- Expiry Date: 12/31/1989 (over 34 years ago)
LOCATIONS
A Address
2959 BURKE MILL ROAD, WINSTON-SALEM 27103