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NameLOMINADZE GEORGE
AddressBRONXNY
ProfessionMEDICINE LIMITED LICENSE
License No004110
Date of Licensure07/02/12
Additional Qualification Not applicable in this profession
StatusINACTIVE
Registered through last day of
Medical SchoolCASE WESTERN RESERVE UNIV
Degree Date05/17/2009

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