ENRIQUE ELLENBOGEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047868

License Status

INACTIVE

Business

First Name

ENRIQUE

Last Name

ELLENBOGEN

Suffix

Business Name

ENRIQUE ELLENBOGEN MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

Expiration Date

07/31/1987

City

TROY

State

Zip

45373

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006