ESTATE KOKOSADZE MD - Medical Doctor License in South Dakota | # 036119177

ESTATE KOKOSADZE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119177

License Status

NOT RENEWED

Business

N

First Name

ESTATE

Last Name

KOKOSADZE

Suffix

MD

Business Name

ESTATE KOKOSADZE MD

Original Issue Date

08/10/2007

Effective Date

06/27/2011

Expiration Date

07/31/2014

State

SD

Ever Disciplined

N

LastModifiedDate

11/17/2014