BRAD ROBERT ROGOWSKI DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119824

License Status

NOT RENEWED

Business

First Name

BRAD

Middle

ROBERT

Last Name

ROGOWSKI

Suffix

Business Name

BRAD ROBERT ROGOWSKI DO

Original Issue Date

12/12/2007

Effective Date

04/21/2011

Expiration Date

07/31/2014

City

OREGON

State

Zip

53575

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014