Georgia
Composite Medical Board
PORTILLA, DIANA MARCELA, MD
Medical - Physician
License number
053365
Date granted
07/11/2003
Date expires
06/30/2007
Class
Medical - Physician
Status
Lapsed
Address
234 EUGENIO MARIA DE HOSTOS BLVD | (149TH STREET)
georgiadoctors.net
ID 38073559
LAST UPDATED 2024-04-04 04:43:47 UTC
LAST UPDATED 2024-04-04 04:43:47 UTC
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