MELANY K GROGAN MD - Medical Doctor License in Alaska | # 33*****28

MELANY K GROGAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MELANY

Middle

K

Last Name

GROGAN

Business Name

MELANY K GROGAN MD

Original Issue Date

07/17/2012

Effective Date

07/17/2012

Expiration Date

07/31/2014

State

AK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

04/12/2017