BLANCO, RAUL ROBERTO
Medical - Resident Physician
Georgia 001413 Inactive
This Georgia license was held by BLANCO, RAUL ROBERTO. The license is no longer active. It was granted on 07/01/2005 and expired on 06/30/2008
LICENSE DETAILS
- License Number: 001413
- Category: Resident Physician
- Status: Inactive
- Date Granted: 07/01/2005 (about 19 years ago)
- Expiry Date: 06/30/2008 (about 16 years ago)
LOCATIONS
A Address
1305 MCCLELEN WAY, Decatur 30033