MONA S BUCHSBAUM - Medical Doctor License in Illinois | # 125026984

MONA S BUCHSBAUM

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026984

License Status

EXPIRED

Business

N

First Name

MONA

Middle

S

Last Name

BUCHSBAUM

Business Name

MONA S BUCHSBAUM

Original Issue Date

05/29/1991

Effective Date

05/29/1991

Expiration Date

06/30/1995

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

09/22/2006