NICOLE ELIZABETH BOGDANOVICH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068483

License Status

EXPIRED

Business

Title

First Name

NICOLE

Middle

ELIZABETH

Last Name

BOGDANOVICH

Business Name

NICOLE ELIZABETH BOGDANOVICH MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

09/23/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/24/2020