MICHAEL G KOGAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

MICHAEL G

Last Name

KOGAN

Business Name

MICHAEL G KOGAN

Original Issue Date

05/24/1995

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021