LAWRENCE J FOGEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

LAWRENCE J

Last Name

FOGEL

Suffix

Business Name

LAWRENCE J FOGEL MD

Original Issue Date

07/23/1982

Effective Date

07/23/1982

Expiration Date

07/31/1984

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006