JEFFREY DAVID FOGLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151505

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

DAVID

Last Name

FOGLE

Business Name

JEFFREY DAVID FOGLE MD

Original Issue Date

01/08/2020

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

STILLMAN VALLEY

State

Zip

61084

County

OGLE

Ever Disciplined

LastModifiedDate

05/03/2023