License holder summary

ANTOLIN, ELEANOR BANZON, MD is a Medical - Physician licensed to practice in Georgia. The address on file for ANTOLIN, ELEANOR BANZON, MD is WORDSWORTH AT SHAWNEE | BOX 554, SHAWNEE ON DEL 18356. This doctor license is not current. The license was granted 06/05/1997 and expired on 12/31/2003.

Georgia

Composite Medical Board

ANTOLIN, ELEANOR BANZON, MD
Medical - Physician
License number
043529
Date granted
06/05/1997
Date expires
12/31/2003
Class
Medical - Physician
Status
Lapsed
Address
WORDSWORTH AT SHAWNEE | BOX 554
georgiadoctors.net
ID 38024985
LAST UPDATED 2024-04-04 12:03:01 UTC

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