SIDNEY T BOGARDUS MD - Medical Doctor License in Illinois | # 125024038

SIDNEY T BOGARDUS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024038

License Status

EXPIRED

Business

N

First Name

SIDNEY T

Last Name

BOGARDUS

Suffix

MD

Business Name

SIDNEY T BOGARDUS MD

Original Issue Date

06/07/1989

Effective Date

06/07/1989

Expiration Date

06/25/1992

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006