License holder summary

PONCE DE LEON, ADOLFO I, MD is a Medical - Physician licensed to practice in Georgia. The address on file for PONCE DE LEON, ADOLFO I, MD is 10 PINE LAKE DRIVE NW, Atlanta 30327. This doctor license is not current. The license was granted 06/09/1967 and expired on 12/31/2003.

Georgia

Composite Medical Board

PONCE DE LEON, ADOLFO I, MD
Medical - Physician
License number
011673
Date granted
06/09/1967
Date expires
12/31/2003
Class
Medical - Physician
Status
Lapsed
Address
10 PINE LAKE DRIVE NW
georgiadoctors.net
ID 38073426
LAST UPDATED 2021-05-24 08:41:40 UTC

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