MARCIA R BOGOLUB Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003949

License Status

NOT RENEWED

Business

First Name

MARCIA R

Last Name

BOGOLUB

Business Name

MARCIA R BOGOLUB

Original Issue Date

08/26/1983

Effective Date

07/18/2014

Expiration Date

09/30/2016

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

11/26/2016