AGATHA M S BOGARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123072

License Status

ACTIVE

Business

First Name

AGATHA

Middle

M S

Last Name

BOGARD

Suffix

Business Name

AGATHA M S BOGARD MD

Original Issue Date

04/06/2009

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

PHOENIX

State

Zip

85040

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/24/2023