WILLIAM JOSEPH BOGARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

WILLIAM JOSEPH

Last Name

BOGARD

Suffix

Business Name

WILLIAM JOSEPH BOGARD MD

Original Issue Date

10/22/1991

Effective Date

10/22/1991

Expiration Date

07/31/2008

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008