GREGORY M BULAVA MD - Medical Doctor License in Illinois | # 125016310

GREGORY M BULAVA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016310

License Status

EXPIRED

Business

N

First Name

GREGORY M

Last Name

BULAVA

Suffix

MD

Business Name

GREGORY M BULAVA MD

Original Issue Date

08/01/1983

Effective Date

08/01/1983

Expiration Date

07/01/1985

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006