License holder summary

ANCAYA, AGUSTIN ENRIQUE is a Medical - Physician licensed to practice in Georgia. The address on file for ANCAYA, AGUSTIN ENRIQUE is 2564 PEARSALL AVE., BRONX 10469. This doctor license is not current. The license was granted 08/05/2005 and expired on 12/31/2005.

Georgia

Composite Medical Board

ANCAYA, AGUSTIN ENRIQUE
Medical - Physician
License number
056678
Date granted
08/05/2005
Date expires
12/31/2005
Class
Medical - Physician
Status
Lapsed
Address
2564 PEARSALL AVE.
georgiadoctors.net
ID 38024593
LAST UPDATED 2024-04-19 20:19:00 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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