R SALLY BOGLUB FAND MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032109

License Status

INACTIVE

Business

First Name

R SALLY BOGLUB

Last Name

FAND

Suffix

Business Name

R SALLY BOGLUB FAND MD

Original Issue Date

08/26/1953

Effective Date

08/26/1953

Expiration Date

07/31/1987

City

TROY

State

Zip

48084

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006