Georgia
Composite Medical Board
ELLENBOGEN, RICHARD GLEN, MD
Medical - Physician
License number
032905
Date granted
04/05/1990
Date expires
12/31/1993
Class
Medical - Physician
Status
Lapsed
Address
204 MARVIN ROAD
georgiadoctors.net
ID 38040728
LAST UPDATED 2024-03-30 01:45:30 UTC
LAST UPDATED 2024-03-30 01:45:30 UTC
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