TONY LEE BOGGESS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047375

License Status

EXPIRED

Business

First Name

TONY

Middle

LEE

Last Name

BOGGESS

Suffix

Business Name

TONY LEE BOGGESS DO

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Rotating Internship

Ever Disciplined

LastModifiedDate

09/22/2006