BRAD ROBERT ROGOWSKI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050329

License Status

CANCELLED

Business

First Name

BRAD

Middle

ROBERT

Last Name

ROGOWSKI

Suffix

Business Name

BRAD ROBERT ROGOWSKI DO

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006