RISHA R FENNELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100518

License Status

ACTIVE

Business

Title

First Name

RISHA

Middle

Last Name

FENNELL

Business Name

RISHA R FENNELL MD

Original Issue Date

07/02/1999

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

06/27/2023