GARY N BOGART - Medical Doctor License in Illinois | # 125021930

GARY N BOGART

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021930

License Status

EXPIRED

Business

N

First Name

GARY

Middle

N

Last Name

BOGART

Business Name

GARY N BOGART

Original Issue Date

05/05/1988

Effective Date

05/05/1988

Expiration Date

07/01/1991

State

IL

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

N

LastModifiedDate

09/22/2006