MELANY K GROGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130868

License Status

NOT RENEWED

Business

Title

First Name

MELANY

Middle

Last Name

GROGAN

Business Name

MELANY K GROGAN MD

Original Issue Date

07/17/2012

Effective Date

04/29/2014

Expiration Date

07/31/2017

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/01/2017