License holder summary

ELLENBOGEN, RICHARD GLEN, MD is a Medical - Physician licensed to practice in Georgia. The address on file for ELLENBOGEN, RICHARD GLEN, MD is 204 MARVIN ROAD, SILVER SPRING 20901. This doctor license is not current. The license was granted 04/05/1990 and expired on 12/31/1993.

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

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