JOHN RICHARD FENOGLIO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039040

License Status

INACTIVE

Business

First Name

JOHN RICHARD

Last Name

FENOGLIO

Suffix

Business Name

JOHN RICHARD FENOGLIO MD

Original Issue Date

05/21/1964

Effective Date

05/21/1964

Expiration Date

07/31/1999

City

GREENWOOD

State

Zip

46142

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006