ELLY BUDIMAN-MAK MD - Medical Doctor License in Illinois | # 036046841

ELLY BUDIMAN-MAK MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046841

License Status

INACTIVE

Business

N

First Name

ELLY

Last Name

BUDIMAN-MAK

Suffix

MD

Business Name

ELLY BUDIMAN-MAK MD

Original Issue Date

02/07/1973

Effective Date

07/10/2020

Expiration Date

07/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2023