License holder summary

AGBAYANI-BAUTISTA, RENALI AMPARO C, MD is a Medical - Physician licensed to practice in Georgia. The address on file for AGBAYANI-BAUTISTA, RENALI AMPARO C, MD is 2040 DAN PROCTOR DR. #140, ST. MARYS 31558. This doctor license is current. The license was granted 08/05/2005 and expired on 11/30/2017.

Georgia

Composite Medical Board

AGBAYANI-BAUTISTA, RENALI AMPARO C, MD
Medical - Physician
License number
056675
Date granted
08/05/2005
Date expires
11/30/2017
Class
Medical - Physician
Status
Active
Address
2040 DAN PROCTOR DR. #140
georgiadoctors.net
ID 38022760
LAST UPDATED 2021-09-03 22:48:43 UTC

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