SIDNEY A FOGEL DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044680

License Status

INACTIVE

Business

First Name

SIDNEY A

Last Name

FOGEL

Suffix

Business Name

SIDNEY A FOGEL DO

Original Issue Date

08/09/1971

Effective Date

08/09/1971

Expiration Date

07/31/1987

City

EAST LIBERTY

State

Zip

43319

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006