IRENE MOGIL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

Title

First Name

IRENE

Last Name

MOGIL

Business Name

IRENE MOGIL DO

Original Issue Date

06/21/2011

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

CLARENCE

State

Zip

14031

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014