FONSECA, MIGUEL ALBERTO

Medical - Institutional Physician

Georgia  001053   Lapsed

This Georgia license was held by FONSECA, MIGUEL ALBERTO. The license is no longer active. It was granted on 04/03/1975 and expired on 06/30/1995

LICENSE DETAILS

  • License Number: 001053
  • Category: Institutional Physician
  • Status: Lapsed
  • Date Granted: 04/03/1975 (about 50 years ago)
  • Expiry Date: 06/30/1995 (almost 30 years ago)

LOCATIONS

A Address

GA REG HOSP AT SAV | PO BOX 13607, Savannah 31416