Department of Safety and Professional Services
Board of Medical Practice
Kenneth Wayne Fogelberg
Medical - Physician And Surgeon
License number
56314
Date granted
05/11/2013
Date expires
07/31/2014
Class
Medical - Physician And Surgeon
Status
Inactive
Address
2415 Del Sur, Santa Maria, CA 93455
doctorsminnesota.org
ID 22208048
LAST UPDATED 2026-05-29 01:02:26 UTC
LAST UPDATED 2026-05-29 01:02:26 UTC
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