LAUREL A VOGT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

LAUREL A

Last Name

VOGT

Suffix

Business Name

LAUREL A VOGT MD

Original Issue Date

05/06/1986

Effective Date

05/06/1986

Expiration Date

07/31/1990

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006