NICHOLAS KONGOASA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168394

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Last Name

KONGOASA

Business Name

NICHOLAS KONGOASA MD

Original Issue Date

01/24/2024

Effective Date

01/24/2024

Expiration Date

07/31/2026

City

BROOKHAVEN

State

Zip

30319

County

DEKALB

Ever Disciplined

LastModifiedDate

01/24/2024