MARSHALL ANDREW FOGEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

CANCELLED

Business

First Name

MARSHALL ANDREW

Last Name

FOGEL

Suffix

Business Name

MARSHALL ANDREW FOGEL MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006