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Awards
Award Criteria
Past Award Winners
Award Nomination Form
Nomination Deadline: March 31, 2020
The Lester Brown Award
The Gerald S. Gussack Memorial Award
Nominee Name:
Address
City, State, Zip:
Phone Number:
Email Address:
How many years has this physician been in practice in Georgia?
Check here if the nominee is an Otolaryngologist/Head & Neck Surgeon.
(The nominee does not necessarily have to be an Otolaryngologist.)
Please state why you think this individual is deserving of this award.
Your Name:
Your Phone Number:
Your Email: