KRISTI AMANDA BOGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147383

License Status

NOT RENEWED

Business

Title

First Name

KRISTI

Middle

AMANDA

Last Name

BOGAN

Business Name

KRISTI AMANDA BOGAN MD

Original Issue Date

09/04/2018

Effective Date

09/04/2018

Expiration Date

09/30/2020

City

LEXINGTON

State

Zip

40517

Ever Disciplined

LastModifiedDate

01/14/2021