NATHAN LEWIS FROGGE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161574

License Status

ACTIVE

Business

Title

First Name

NATHAN

Middle

LEWIS

Last Name

FROGGE

Business Name

NATHAN LEWIS FROGGE MD

Original Issue Date

07/21/2022

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

06/07/2024