MICHAEL J FOGGIA II DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

FOGGIA

Suffix

II DO

Business Name

MICHAEL J FOGGIA II DO

Original Issue Date

01/15/1999

Effective Date

01/15/1999

Expiration Date

07/31/2008

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008