WELLBAUM, KEVIN DAVID
Medical - Resident Physician
Georgia 005536 Lapsed
This Georgia license was held by WELLBAUM, KEVIN DAVID. The license is no longer active. It was granted on 05/25/2012 and expired on 06/30/2015
LICENSE DETAILS
- License Number: 005536
- Category: Resident Physician
- Status: Lapsed
- Date Granted: 05/25/2012 (about 13 years ago)
- Expiry Date: 06/30/2015 (almost 10 years ago)
LOCATIONS
A Address
1459 LANEY WALKER BLVD | AE 3042, Augusta 30912