License holder summary

MATA, LAZARO, MD is a Medical - Physician licensed to practice in Georgia. The address on file for MATA, LAZARO, MD is 451 S. W. 4 STREET APT. #3, MIAMI 33130. This doctor license is not current. The license was granted 07/29/1970 and expired on 05/04/1990.

Georgia

Composite Medical Board

MATA, LAZARO, MD
Medical - Physician
License number
013153
Date granted
07/29/1970
Date expires
05/04/1990
Class
Medical - Physician
Status
Deceased
Address
451 S. W. 4 STREET APT. #3
georgiadoctors.net
ID 38063054
LAST UPDATED 2024-04-26 03:20:41 UTC

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