License holder summary

TANUBRATA, INGRID is a Medical - Resident Physician licensed to practice in Georgia. The address on file for TANUBRATA, INGRID is 720 WESTVIEW DRIVE SW | GME, Atlanta 30310. This doctor license is not current. The license was granted 09/03/2004 and expired on 06/30/2006.

Georgia

Composite Medical Board

TANUBRATA, INGRID
Medical - Resident Physician
License number
001069
Date granted
09/03/2004
Date expires
06/30/2006
Class
Medical - Resident Physician
Status
Lapsed
Address
720 WESTVIEW DRIVE SW | GME
georgiadoctors.net
ID 38121015
LAST UPDATED 2024-04-09 09:36:49 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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