GLENN BANEGURA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147581

License Status

ACTIVE

Business

Title

First Name

GLENN

Last Name

BANEGURA

Business Name

GLENN BANEGURA MD

Original Issue Date

10/16/2018

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

LILBURN

State

Zip

30047

Ever Disciplined

LastModifiedDate

04/06/2023