Kenneth Wayne Fogelberg
Medical - Physician And Surgeon
Minnesota 56314 Inactive
This Minnesota license was held by Kenneth Wayne Fogelberg. The license is no longer active. It was granted on 05/11/2013 and expired on 07/31/2014
LICENSE DETAILS
- License Number: 56314
- Category: Physician and Surgeon
- Status: Inactive
- Date Granted: 05/11/2013 (about 11 years ago)
- Expiry Date: 07/31/2014 (almost 10 years ago)
LOCATIONS
A Address
2415 Del Sur, Santa Maria, CA 93455