License holder summary

BASULTO, GEORGIA is a Medical - Respiratory Care Professional licensed to practice in Georgia. The address on file for BASULTO, GEORGIA is P O BOX 3992, Moultrie 31776. This doctor license is not current. The license was granted 10/06/1994 and expired on 06/30/2002.

Georgia

Composite Medical Board

BASULTO, GEORGIA
Medical - Respiratory Care Professional
License number
002915
Date granted
10/06/1994
Date expires
06/30/2002
Class
Medical - Respiratory Care Professional
Status
Lapsed
Address
P O BOX 3992
georgiadoctors.net
ID 38103246
LAST UPDATED 2026-05-13 11:53:34 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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