STEPHEN C BOGUE Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004734

License Status

NOT RENEWED

Business

First Name

STEPHEN C

Last Name

BOGUE

Business Name

STEPHEN C BOGUE

Original Issue Date

06/13/1995

Effective Date

12/07/2012

Expiration Date

01/31/2015

City

MADISON

State

Zip

53719

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/09/2015