CLAUDIO S BONDULICH - Medical Doctor License in Illinois | # 125042104

CLAUDIO S BONDULICH

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042104

License Status

EXPIRED

Business

N

First Name

CLAUDIO

Middle

S

Last Name

BONDULICH

Business Name

CLAUDIO S BONDULICH

Original Issue Date

07/27/2000

Effective Date

07/27/2000

Expiration Date

07/26/2003

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006