NEIL E BROGREN 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

NEIL E

Last Name

BROGREN

Suffix

Business Name

NEIL E BROGREN MD

Original Issue Date

03/17/1982

Effective Date

07/30/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011