BRIAN M YAGODA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076263

License Status

NOT RENEWED

Business

First Name

BRIAN M

Last Name

YAGODA

Suffix

Business Name

BRIAN M YAGODA MD

Original Issue Date

10/31/1987

Effective Date

10/31/1987

Expiration Date

07/31/1996

City

MUSKEGO

State

Zip

53186

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/18/2018