STANLEY KOGAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154688

License Status

NOT RENEWED

Business

First Name

STANLEY

Last Name

KOGAN

Business Name

STANLEY KOGAN

Original Issue Date

11/05/2020

Effective Date

11/05/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

11/30/2023