BLAIR BOGARD - Physician Assistant License in Illinois | # 085007139

BLAIR BOGARD

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007139

License Status

ACTIVE

Business

N

First Name

BLAIR

Last Name

BOGARD

Business Name

BLAIR BOGARD

Original Issue Date

07/27/2019

Effective Date

12/04/2025

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

12/04/2025