ENRIQUE ELLENBOGEN MD - Medical Doctor License in Ohio | # 036047868

ENRIQUE ELLENBOGEN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047868

License Status

INACTIVE

Business

N

First Name

ENRIQUE

Last Name

ELLENBOGEN

Suffix

MD

Business Name

ENRIQUE ELLENBOGEN MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

Expiration Date

07/31/1987

State

OH

Ever Disciplined

N

LastModifiedDate

09/20/2006