GLENN BANEGURA MD - Medical Doctor License in Georgia | # 33*****86

GLENN BANEGURA MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

N

Title

MD

First Name

GLENN

Last Name

BANEGURA

Business Name

GLENN BANEGURA MD

Original Issue Date

12/01/2018

Effective Date

04/06/2023

Expiration Date

07/31/2026

State

GA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

04/06/2023