JEAN R GOGOLIN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090947

License Status

INACTIVE

Business

First Name

JEAN R

Last Name

GOGOLIN

Business Name

JEAN R GOGOLIN

Original Issue Date

06/20/1995

Effective Date

06/20/1995

Expiration Date

07/31/1996

City

OSHKOSH

State

Zip

54901

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006