ANDRE BIENIARZ - Medical Doctor License in Illinois | # 036055479

ANDRE BIENIARZ

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055479

License Status

NOT RENEWED

Business

N

First Name

ANDRE

Last Name

BIENIARZ

Business Name

ANDRE BIENIARZ

Original Issue Date

08/22/1977

Effective Date

07/24/2017

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021