CAROLA E BONFANTE - Medical Doctor License in Illinois | # 036106928

CAROLA E BONFANTE

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106928

License Status

NOT RENEWED

Business

N

First Name

CAROLA

Middle

E

Last Name

BONFANTE

Business Name

CAROLA E BONFANTE

Original Issue Date

05/10/2002

Effective Date

05/10/2002

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006