JOHN RICHARD FENOGLIO MD - Medical Doctor License in Indiana | # 036039040

JOHN RICHARD FENOGLIO MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039040

License Status

INACTIVE

Business

N

First Name

JOHN RICHARD

Last Name

FENOGLIO

Suffix

MD

Business Name

JOHN RICHARD FENOGLIO MD

Original Issue Date

05/21/1964

Effective Date

05/21/1964

Expiration Date

07/31/1999

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006