BELLA K BUKOWSKI - Medical Doctor License in Illinois | # 036104417

BELLA K BUKOWSKI

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104417

License Status

NOT RENEWED

Business

N

First Name

BELLA

Middle

K

Last Name

BUKOWSKI

Business Name

BELLA K BUKOWSKI

Original Issue Date

03/29/2001

Effective Date

03/29/2001

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006