KATHRYN EISENHUT BROGAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147374

License Status

INACTIVE

Business

Title

First Name

KATHRYN

Middle

EISENHUT

Last Name

BROGAN

Business Name

KATHRYN EISENHUT BROGAN MD

Original Issue Date

08/30/2018

Effective Date

08/30/2018

Expiration Date

09/30/2020

City

SALT LAKE CITY

State

Zip

84105

Ever Disciplined

LastModifiedDate

05/19/2020