Vadim Petrov-kondratov

Medical doctor

Hinesville, United States

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Full name

Vadim Petrov-Kondratov

Job Title

Medical Doctor

Location

Hinesville, GA, USA

LIC ID

148456

Current License Expiration Date

31/01/2024

Original Date

22/07/2020

Professional Rank Code

Effective Date

22/07/2020

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

Out of State

Practice Location Address Line 1

604 W Oglethorpe Hwy

Practice Location Address City

HINESVILLE

Practice Location Address State

Practice Location Address Zipcode

31313

Mode Code

Dispensing Practitioner

Prescribing Indicator

Dispensing Indicator

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