SAMUEL IVAN BARONOFSKY - Medical Doctor License in Illinois | # 125035144

SAMUEL IVAN BARONOFSKY

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035144

License Status

EXPIRED

Business

N

First Name

SAMUEL IVAN

Last Name

BARONOFSKY

Business Name

SAMUEL IVAN BARONOFSKY

Original Issue Date

06/17/1996

Effective Date

06/17/1996

Expiration Date

06/30/2000

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

09/22/2006