JOHNSON, THEODORE S
Medical - Resident Physician
Georgia 000504 Lapsed
This Georgia license was held by JOHNSON, THEODORE S. The license is no longer active. It was granted on 08/06/2004 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 000504
- Category: Resident Physician
- Status: Lapsed
- Date Granted: 08/06/2004 (over 20 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
1120 FIFTEENTH ST., CN-4141A, Augusta 30912