License holder summary

COSTA-CRUZ, OMAR DE JESUS, MD is a Medical - Physician licensed to practice in Georgia. The address on file for COSTA-CRUZ, OMAR DE JESUS, MD is 1550 MADRUGA AVENUE, CORAL GABLES 00000. This doctor license is not current. The license was granted 04/04/1996 and expired on 12/31/2003.

Georgia

Composite Medical Board

COSTA-CRUZ, OMAR DE JESUS, MD
Medical - Physician
License number
041537
Date granted
04/04/1996
Date expires
12/31/2003
Class
Medical - Physician
Status
Lapsed
Address
1550 MADRUGA AVENUE
georgiadoctors.net
ID 38036093
LAST UPDATED 2024-03-20 08:49:04 UTC

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