ROGER ALLEN EGGERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037804

License Status

NOT RENEWED

Business

First Name

ROGER ALLEN

Last Name

EGGERT

Suffix

Business Name

ROGER ALLEN EGGERT MD

Original Issue Date

06/18/1962

Effective Date

06/18/1962

Expiration Date

07/31/1993

City

FORT WAYNE

State

Zip

46804

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006