JOHN GREGG FOZARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

JOHN GREGG

Last Name

FOZARD

Suffix

Business Name

JOHN GREGG FOZARD MD

Original Issue Date

01/01/1997

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

PINCKNEYVILE

State

Zip

62274

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023