KATHLEEN P BOGACZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

KATHLEEN P

Last Name

BOGACZ

Suffix

Business Name

KATHLEEN P BOGACZ MD

Original Issue Date

03/31/1986

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020