MANA KASONGO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

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

31701

County

GEORGIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014