MIGUEL FERNANDO AGRAIT-GONZALEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

Title

First Name

MIGUEL

Middle

FERNANDO

Last Name

AGRAIT-GONZALEZ

Business Name

MIGUEL FERNANDO AGRAIT-GONZALEZ MD

Original Issue Date

07/28/2015

Effective Date

07/28/2015

Expiration Date

07/31/2017

City

ATLANTA

State

Zip

30328

County

GEORGIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017