MATA, LAZARO, MD
Medical - Physician
Georgia 013153 Deceased
This Georgia license was held by MATA, LAZARO, MD. The license is no longer active. It was granted on 07/29/1970 and expired on 05/04/1990
LICENSE DETAILS
- License Number: 013153
- Category: Physician
- Status: Deceased
- Date Granted: 07/29/1970 (over 54 years ago)
- Expiry Date: 05/04/1990 (almost 35 years ago)
LOCATIONS
A Address
451 S. W. 4 STREET APT. #3, MIAMI 33130