SERGIO R BUZZINI - Medical Doctor License in Illinois | # 125036455

SERGIO R BUZZINI

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036455

License Status

EXPIRED

Business

N

First Name

SERGIO

Middle

R

Last Name

BUZZINI

Business Name

SERGIO R BUZZINI

Original Issue Date

06/06/1997

Effective Date

06/06/1997

Expiration Date

06/30/2000

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006