SIDNEY T BOGARDUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083685

License Status

NOT RENEWED

Business

First Name

SIDNEY T

Last Name

BOGARDUS

Suffix

Business Name

SIDNEY T BOGARDUS MD

Original Issue Date

11/04/1991

Effective Date

11/04/1991

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006