CAROLYN NICOLE BOGART Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024731

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

NICOLE

Last Name

BOGART

Business Name

CAROLYN NICOLE BOGART

Original Issue Date

08/30/2019

Effective Date

09/10/2020

Expiration Date

09/30/2022

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/28/2022