BHAGYA GOPAL BOGGARAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167214

License Status

ACTIVE

Business

Title

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

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

05/23/2023