SHYRLENA LA QUONDA BOGARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

SHYRLENA

Middle

LA QUONDA

Last Name

BOGARD

Business Name

SHYRLENA LA QUONDA BOGARD MD

Original Issue Date

07/30/2010

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

MEMPHIS

State

Zip

38128

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023