License holder summary

GATIPON, GLENN BLAISE, MD is a Medical - Physician licensed to practice in Georgia. The address on file for GATIPON, GLENN BLAISE, MD is 888 OLD MOUNTAIN ROAD NW, Kennesaw 30152. This doctor license is current. The license was granted 08/11/1982 and expired on 07/31/2017.

Georgia

Composite Medical Board

GATIPON, GLENN BLAISE, MD
Medical - Physician
License number
023962
Date granted
08/11/1982
Date expires
07/31/2017
Class
Medical - Physician
Status
Active
Address
888 OLD MOUNTAIN ROAD NW
georgiadoctors.net
ID 38044589
LAST UPDATED 2024-03-02 19:57:09 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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