TODD KENT POGUE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

TODD

Middle

KENT

Last Name

POGUE

Business Name

TODD KENT POGUE

Original Issue Date

06/12/2006

Effective Date

05/12/2014

Expiration Date

07/31/2017

City

TAHLEQUAH

State

Zip

74464

County

OKLAHOMA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017