LAWRENCE J FOGEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064921

License Status

NOT RENEWED

Business

First Name

LAWRENCE J

Last Name

FOGEL

Suffix

Business Name

LAWRENCE J FOGEL MD

Original Issue Date

07/30/1982

Effective Date

07/30/1982

Expiration Date

07/31/1984

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

09/20/2006