License holder summary

MACTAL, JOSEFINA C AGONCILLO, MD is a Medical - Physician licensed to practice in Georgia. The address on file for MACTAL, JOSEFINA C AGONCILLO, MD is 6016 CHOLLA DR, FT WORTH 76112. This doctor license is not current. The license was granted 10/03/1991 and expired on 12/31/1993.

Georgia

Composite Medical Board

MACTAL, JOSEFINA C AGONCILLO, MD
Medical - Physician
License number
034891
Date granted
10/03/1991
Date expires
12/31/1993
Class
Medical - Physician
Status
Inactive
Address
6016 CHOLLA DR
georgiadoctors.net
ID 38061546
LAST UPDATED 2024-03-25 20:55:35 UTC

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