BASIL L ANDERSON - Medical Doctor License in Georgia | # 036078585

BASIL L ANDERSON

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078585

License Status

NOT RENEWED

Business

N

First Name

BASIL L

Last Name

ANDERSON

Business Name

BASIL L ANDERSON

Original Issue Date

03/18/1989

Effective Date

03/18/1989

Expiration Date

07/31/1990

State

GA

Ever Disciplined

N

LastModifiedDate

09/20/2006