PAUL F PLOEGMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

PAUL F

Last Name

PLOEGMAN

Suffix

Business Name

PAUL F PLOEGMAN MD

Original Issue Date

03/06/1987

Effective Date

06/29/2017

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62903

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021