JONATHAN CARL BOGUSKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069841

License Status

EXPIRED

Business

Title

First Name

JONATHAN

Middle

CARL

Last Name

BOGUSKI

Business Name

JONATHAN CARL BOGUSKI MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

LEXINGTON

State

Zip

29072

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

11/19/2020