License holder summary

GRANA GUSTAVO is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for GRANA GUSTAVO is LAKELAND FL. This doctor license is not current. The license was granted 10/20/1978.

New York

Office of the Professions

GRANA GUSTAVO
Medicine (Physician, Including M Ds & D Os)
License number
136170
Date granted
10/20/1978
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
LAKELAND FL
nymedicine.org
ID 30156443
LAST UPDATED 2024-03-03 23:58:18 UTC

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