MICHAEL NATHAN BOGGS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

NATHAN

Last Name

BOGGS

Business Name

MICHAEL NATHAN BOGGS MD

Original Issue Date

05/18/2021

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

ATHENS

State

Zip

45701

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2023