MICHAEL G KOGAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

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

05/01/2014

Expiration Date

07/31/2017

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020