BHAGYA GOPAL BOGGARAM MD - Medical Doctor License in Illinois | # 036167214

BHAGYA GOPAL BOGGARAM MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167214

License Status

ACTIVE

Business

N

Title

MD

First Name

BHAGYA

Middle

GOPAL

Last Name

BOGGARAM

Business Name

BHAGYA GOPAL BOGGARAM MD

Original Issue Date

09/28/2023

Effective Date

09/28/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

05/23/2023