EDWIN L GROGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093089

License Status

NOT RENEWED

Business

First Name

EDWIN L

Last Name

GROGAN

Suffix

Business Name

EDWIN L GROGAN MD

Original Issue Date

06/06/1996

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

PADUCAH

State

Zip

42003

County

KENTUCKY

Ever Disciplined

LastModifiedDate

11/17/2014