License Type:
Medical Doctor
License Number:
4301088555
Name:
Christian Bogner
License Issue Date:
06/30/2010
License Expiration Date:
06/30/2026
License Status:
Active
County:
Oakland
City:
Birmingham
State or Province:
Michigan
ZIP or Postal Code:
48009
CS Record Number:
5315046989
CS Status:
CS Expiration Date:
Royal Oak
48073
5315027796
Lapsed
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