DUBAGUNTA, PRASUNA GNANA, MD
Medical - Physician
Georgia 055401 Lapsed
This Georgia license was held by DUBAGUNTA, PRASUNA GNANA, MD. The license is no longer active. It was granted on 09/03/2004 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 055401
- Category: Physician
- Status: Lapsed
- Date Granted: 09/03/2004 (almost 22 years ago)
- Expiry Date: 06/30/2011 (about 15 years ago)
LOCATIONS
A Address
4804 EDDLEMAN DRIVE, FORT WORTH 76244