PHILIP SHIELDS COOGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039035

License Status

NOT RENEWED

Business

First Name

PHILIP SHIELDS

Last Name

COOGAN

Suffix

Business Name

PHILIP SHIELDS COOGAN MD

Original Issue Date

05/21/1964

Effective Date

05/21/1964

Expiration Date

07/31/1984

City

JOHNSON CITY

State

Zip

37601

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/20/2006