License holder summary

SANTA TERESA, GRACE ELLEN MANANSALA is a Medical - Resident Physician licensed to practice in Georgia. The address on file for SANTA TERESA, GRACE ELLEN MANANSALA is 720 WESTVIEW DR., S.W. | MOREHOUSE RESIDENT TRAINING PROG, Atlanta 30310. This doctor license is not current. The license was granted 07/14/2005 and expired on 06/30/2006.

Georgia

Composite Medical Board

SANTA TERESA, GRACE ELLEN MANANSALA
Medical - Resident Physician
License number
001631
Date granted
07/14/2005
Date expires
06/30/2006
Class
Medical - Resident Physician
Status
Lapsed
Address
720 WESTVIEW DR., S.W. | MOREHOUSE RESIDENT TRAINING PROG
georgiadoctors.net
ID 38120191
LAST UPDATED 2026-05-16 17:31:53 UTC

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