BARBARA D BOGUTA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000333

License Status

EXPIRED

Business

First Name

BARBARA

Middle

Last Name

BOGUTA

Business Name

BARBARA D BOGUTA

Original Issue Date

06/08/1996

Effective Date

06/08/1996

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006