PATSAMATLA, KISHORE RAJU TARA, MD
Medical - Physician
Georgia 056748 Lapsed
This Georgia license was held by PATSAMATLA, KISHORE RAJU TARA, MD. The license is no longer active. It was granted on 08/05/2005 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 056748
- Category: Physician
- Status: Lapsed
- Date Granted: 08/05/2005 (almost 20 years ago)
- Expiry Date: 06/30/2009 (almost 16 years ago)
LOCATIONS
A Address
110 LONGWOOD AVE, Rockledge 32955