RUSSELL, ROGER KEITH
Medical - Provisional Physician
Georgia 000008 Surrendered
This Georgia license was held by RUSSELL, ROGER KEITH. The license is no longer active. It was granted on 02/07/1975 and expired on 06/30/1998
LICENSE DETAILS
- License Number: 000008
- Category: Provisional Physician
- Status: Surrendered
- Date Granted: 02/07/1975 (about 49 years ago)
- Expiry Date: 06/30/1998 (almost 26 years ago)
LOCATIONS
A Address
PO BOX 779, Pearson 31642