License holder summary

PROENZA, RICHARD MICHAEL is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for PROENZA, RICHARD MICHAEL is 1914 PINE LAKE CIRCLE, Vidalia 30474. This doctor license is current. The license was granted 07/02/2004 and expired on 06/30/2018.

Georgia

Composite Medical Board

PROENZA, RICHARD MICHAEL
Medical - Physician Assistant
License number
004304
Date granted
07/02/2004
Date expires
06/30/2018
Class
Medical - Physician Assistant
Status
Active
Address
1914 PINE LAKE CIRCLE
georgiadoctors.net
ID 38100919
LAST UPDATED 2026-05-01 15:43:16 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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