LISA N BOGGIO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

LISA N

Last Name

BOGGIO

Business Name

LISA N BOGGIO

Original Issue Date

11/13/1995

Effective Date

11/13/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020