JOHN RICHARD FENOGLIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

JOHN RICHARD

Last Name

FENOGLIO

Suffix

Business Name

JOHN RICHARD FENOGLIO MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006