INNA BOGUNOVA MD - Medical Doctor License in Illinois | # 125034412

INNA BOGUNOVA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034412

License Status

EXPIRED

Business

N

First Name

INNA

Last Name

BOGUNOVA

Suffix

MD

Business Name

INNA BOGUNOVA MD

Original Issue Date

05/18/1996

Effective Date

05/18/1996

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006