DINA A KOGAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109386

License Status

NOT RENEWED

Business

First Name

DINA

Middle

Last Name

KOGAN

Business Name

DINA A KOGAN

Original Issue Date

06/11/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

OMAHA

State

Zip

68116

Ever Disciplined

LastModifiedDate

11/06/2008