JEAN-MAX HOGARTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

JEAN-MAX

Last Name

HOGARTH

Business Name

JEAN-MAX HOGARTH MD

Original Issue Date

12/02/2020

Effective Date

12/02/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023