SIOBAN M GOGAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016400

License Status

EXPIRED

Business

First Name

SIOBAN

Middle

Last Name

GOGAN

Business Name

SIOBAN M GOGAN

Original Issue Date

09/16/1983

Effective Date

09/16/1983

Expiration Date

09/09/1985

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006