License holder summary

REQUARD, CHARLES KENNETH, MD is a Medical - Physician licensed to practice in Georgia. The address on file for REQUARD, CHARLES KENNETH, MD is 5316 FERNDALE ST., Springfield 22151. This doctor license is not current. The license was granted 12/07/1982 and expired on 12/31/1983.

Georgia

Composite Medical Board

REQUARD, CHARLES KENNETH, MD
Medical - Physician
License number
024479
Date granted
12/07/1982
Date expires
12/31/1983
Class
Medical - Physician
Status
Lapsed
Address
5316 FERNDALE ST.
georgiadoctors.net
ID 38075869
LAST UPDATED 2024-05-12 15:48:00 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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