BELAVILAS, MARYAM SHOGOFA MOSHREF
Medical - Resident Physician
Georgia 005430 Lapsed
This Georgia license was held by BELAVILAS, MARYAM SHOGOFA MOSHREF. The license is no longer active. It was granted on 05/10/2012 and expired on 06/30/2015
LICENSE DETAILS
- License Number: 005430
- Category: Resident Physician
- Status: Lapsed
- Date Granted: 05/10/2012 (about 13 years ago)
- Expiry Date: 06/30/2015 (almost 10 years ago)
LOCATIONS
A Address
777 HEMLOCK ST | MSC #165, Macon 31201