License holder summary

PATSAMATLA, KISHORE RAJU TARA, MD is a Medical - Physician licensed to practice in Georgia. The address on file for PATSAMATLA, KISHORE RAJU TARA, MD is 110 LONGWOOD AVE, Rockledge 32955. This doctor license is not current. The license was granted 08/05/2005 and expired on 06/30/2009.

Georgia

Composite Medical Board

PATSAMATLA, KISHORE RAJU TARA, MD
Medical - Physician
License number
056748
Date granted
08/05/2005
Date expires
06/30/2009
Class
Medical - Physician
Status
Lapsed
Address
110 LONGWOOD AVE
georgiadoctors.net
ID 38071742
LAST UPDATED 2024-04-08 00:12:38 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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