KATHLEEN P BOGACZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069602

License Status

NOT RENEWED

Business

First Name

KATHLEEN P

Last Name

BOGACZ

Suffix

Business Name

KATHLEEN P BOGACZ MD

Original Issue Date

10/09/1984

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

LYNCHBURG

State

Zip

24502

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021