MARK PAUL BOGNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029421

License Status

EXPIRED

Business

First Name

MARK PAUL

Last Name

BOGNER

Suffix

Business Name

MARK PAUL BOGNER MD

Original Issue Date

05/05/1993

Effective Date

05/05/1993

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006