MELANY K GROGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

Title

First Name

MELANY

Middle

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

City

FAIRBANKS

State

Zip

99701

County

ALASKA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017