GERALD J FOGARTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043836

License Status

NOT RENEWED

Business

First Name

GERALD J

Last Name

FOGARTY

Suffix

Business Name

GERALD J FOGARTY MD

Original Issue Date

10/02/1970

Effective Date

10/02/1970

City

CEDAR RAPIDS

State

Zip

52403

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006