License holder summary

PENA-AYALA, ESTEBAN is a Medical - Resident Physician licensed to practice in Georgia. The address on file for PENA-AYALA, ESTEBAN is C/O MARILANE B. BOND, EDD, MBA | 1440 CLIFTON ROAD, Atlanta 30322. This doctor license is not current. The license was granted 09/03/2004 and expired on 06/30/2005.

Georgia

Composite Medical Board

PENA-AYALA, ESTEBAN
Medical - Resident Physician
License number
000950
Date granted
09/03/2004
Date expires
06/30/2005
Class
Medical - Resident Physician
Status
Lapsed
Address
C/O MARILANE B. BOND, EDD, MBA | 1440 CLIFTON ROAD
georgiadoctors.net
ID 38119471
LAST UPDATED 2024-03-06 11:02:32 UTC

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