MANA KASONGO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128816

License Status

NOT RENEWED

Business

Title

First Name

MANA

Last Name

KASONGO

Business Name

MANA KASONGO MD

Original Issue Date

08/18/2011

Effective Date

08/18/2011

Expiration Date

07/31/2014

City

ALBANY

State

Zip

31707

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/17/2014