PETER GORDON COGGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054258

License Status

NOT RENEWED

Business

First Name

PETER GORDON

Last Name

COGGAN

Suffix

Business Name

PETER GORDON COGGAN MD

Original Issue Date

03/11/1977

Effective Date

03/11/1977

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006