DANIEL L BOMMELJE DO - Medical Doctor License in Illinois | # 125030893

DANIEL L BOMMELJE DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030893

License Status

EXPIRED

Business

N

First Name

DANIEL L

Last Name

BOMMELJE

Suffix

DO

Business Name

DANIEL L BOMMELJE DO

Original Issue Date

04/28/1994

Effective Date

04/28/1994

Expiration Date

06/20/1997

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006