HAVENSTRITE, KEITH AUSTIN, MD
Medical - Physician
Georgia 041053 Inactive
This Georgia license was held by HAVENSTRITE, KEITH AUSTIN, MD. The license is no longer active. It was granted on 11/02/1995 and expired on 08/30/2011
LICENSE DETAILS
- License Number: 041053
- Category: Physician
- Status: Inactive
- Date Granted: 11/02/1995 (over 29 years ago)
- Expiry Date: 08/30/2011 (over 13 years ago)
LOCATIONS
A Address
17108 134TH AVENUE CT E, PUYALLUP 98374