ELIZA GALLO BRUSCATO - Medical Doctor License in Georgia | # 036099288

ELIZA GALLO BRUSCATO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099288

License Status

NOT RENEWED

Business

N

First Name

ELIZA

Last Name

GALLO BRUSCATO

Business Name

ELIZA GALLO BRUSCATO

Original Issue Date

11/09/1998

Effective Date

11/09/1998

Expiration Date

07/31/2002

State

GA

Ever Disciplined

N

LastModifiedDate

06/11/2013