Georgia
Composite Medical Board
OSAKO, PHAENARETE HISAKO, MD
Medical - Physician
License number
042684
Date granted
10/03/1996
Date expires
12/31/2005
Class
Medical - Physician
Status
Lapsed
Address
189 JEFFERSON PKWY
georgiadoctors.net
ID 38070132
LAST UPDATED 2026-03-24 07:33:01 UTC
LAST UPDATED 2026-03-24 07:33:01 UTC
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