STEFAN MICHAEL BUMOL MD - Medical Doctor License in Illinois | # 036143717

STEFAN MICHAEL BUMOL MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143717

License Status

NOT RENEWED

Business

N

Title

MD

First Name

STEFAN

Middle

MICHAEL

Last Name

BUMOL

Business Name

STEFAN MICHAEL BUMOL MD

Original Issue Date

06/29/2017

Effective Date

06/29/2017

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021