JENNIFER KIM BOGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144850

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

KIM

Last Name

BOGAN

Business Name

JENNIFER KIM BOGAN MD

Original Issue Date

12/22/2017

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

EDEN PRAIRIE

State

Zip

55344

Ever Disciplined

LastModifiedDate

07/04/2023