TODD KENT POGUE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115817

License Status

NOT RENEWED

Business

First Name

TODD

Middle

KENT

Last Name

POGUE

Business Name

TODD KENT POGUE

Original Issue Date

05/02/2006

Effective Date

05/12/2014

Expiration Date

07/31/2017

City

TAHLEQUAH

State

Zip

74464

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

11/01/2017