BELLA K BUKOWSKI - Medical Doctor License in Illinois | # 125036773

BELLA K BUKOWSKI

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036773

License Status

EXPIRED

Business

N

First Name

BELLA

Middle

K

Last Name

BUKOWSKI

Business Name

BELLA K BUKOWSKI

Original Issue Date

06/16/1997

Effective Date

06/16/1997

Expiration Date

06/21/2001

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006