MICHAEL IAN VENGROW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115757

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

IAN

Last Name

VENGROW

Suffix

Business Name

MICHAEL IAN VENGROW MD

Original Issue Date

04/24/2006

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

PROSPER

State

Zip

75078

Ever Disciplined

LastModifiedDate

06/07/2023