PENA-AYALA, ESTEBAN

Medical - Resident Physician

Georgia  000950   Lapsed

This Georgia license was held by PENA-AYALA, ESTEBAN. The license is no longer active. It was granted on 09/03/2004 and expired on 06/30/2005

LICENSE DETAILS

  • License Number: 000950
  • Category: Resident Physician
  • Status: Lapsed
  • Date Granted: 09/03/2004 (over 19 years ago)
  • Expiry Date: 06/30/2005 (almost 19 years ago)

LOCATIONS

A Address

C/O MARILANE B. BOND, EDD, MBA | 1440 CLIFTON ROAD, Atlanta 30322