NEAL W MOGK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073717

License Status

INACTIVE

Business

First Name

NEAL W

Last Name

MOGK

Suffix

Business Name

NEAL W MOGK MD

Original Issue Date

09/11/1986

Effective Date

09/11/1986

Expiration Date

07/31/1990

City

FLAGSTAFF

State

Zip

86001

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006