DARLENE E FOGG Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101803

License Status

INACTIVE

Business

First Name

DARLENE

Middle

Last Name

FOGG

Business Name

DARLENE E FOGG

Original Issue Date

01/14/2000

Effective Date

01/14/2000

Expiration Date

07/31/2002

City

LEBANON

State

Zip

37087

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/09/2006