JOHN J BOGEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

BOGEN

Suffix

Business Name

JOHN J BOGEN MD

Original Issue Date

06/04/1997

Effective Date

06/04/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2012

Case Number

2011006949

Action

Revocation

Discipline Start Date

08/23/2011

Discipline Reason

due to conviction of a criminal act that requires registration under the Sex Offender Registration Act.