KRISTI AMANDA BOGAN MD - Medical Doctor License in Kentucky | # 036147383

KRISTI AMANDA BOGAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147383

License Status

NOT RENEWED

Business

N

Title

MD

First Name

KRISTI

Middle

AMANDA

Last Name

BOGAN

Business Name

KRISTI AMANDA BOGAN MD

Original Issue Date

09/04/2018

Effective Date

09/04/2018

Expiration Date

09/30/2020

State

KY

Ever Disciplined

N

LastModifiedDate

01/14/2021