License holder summary

Johnson Keith Russell is a Medical licensed to practice in Louisiana. The address on file for Johnson Keith Russell is 1900 Tebeau St, Waycross, GA 31501.

Louisiana

Board of Licensing

Johnson Keith Russell
Medical
License number
MD.204370
Date expires
08/31/2015
Class
Medical
Status
Active
Address
1900 Tebeau St, Waycross, GA 31501
louisianalicensing.com
ID 21926741
LAST UPDATED 2024-02-16 02:13:43 UTC

This website is unaffiliated with Louisiana and its licensing agencies. Please verify all information directly with the relevant official government authority.

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