License holder summary

MIRA-HERNANDEZ, JOSE LUIS, MD is a Medical - Physician licensed to practice in Georgia. The address on file for MIRA-HERNANDEZ, JOSE LUIS, MD is 6675 TULIP GARDEN WAY, Alpharetta 30004. This doctor license is current. The license was granted 11/08/2002 and expired on 06/30/2017.

Georgia

Composite Medical Board

MIRA-HERNANDEZ, JOSE LUIS, MD
Medical - Physician
License number
052133
Date granted
11/08/2002
Date expires
06/30/2017
Class
Medical - Physician
Status
Active
Address
6675 TULIP GARDEN WAY
georgiadoctors.net
ID 38065928
LAST UPDATED 2024-03-07 01:31:48 UTC

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