NICOLE ELIZABETH BOGDANOVICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

ELIZABETH

Last Name

BOGDANOVICH

Business Name

NICOLE ELIZABETH BOGDANOVICH MD

Original Issue Date

02/26/2021

Effective Date

05/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2023