BASUKI K GUNAWAN
Physician at Cedar Rd, Cleveland, OH

License number
Florida 3029
Issued Date
Dec 29, 1999
Effective Date
Jan 11, 2004
Expiration Date
Dec 29, 2003
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address
27030 Cedar Rd APT #312, Cleveland, OH 44122
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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