License holder summary

MIRRA, THEODORE ROBERT, MD is a Medical - Physician licensed to practice in Georgia. The address on file for MIRRA, THEODORE ROBERT, MD is 1022 VISTAVIA CIRCLE, Decatur 30033. This doctor license is not current. The license was granted 10/11/1990 and expired on 12/31/1995.

Georgia

Composite Medical Board

MIRRA, THEODORE ROBERT, MD
Medical - Physician
License number
033778
Date granted
10/11/1990
Date expires
12/31/1995
Class
Medical - Physician
Status
Lapsed
Address
1022 VISTAVIA CIRCLE
georgiadoctors.net
ID 38065962
LAST UPDATED 2024-03-18 09:42:20 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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