MICHAEL M BUNDESMANN - Medical Doctor License in Illinois | # 125046322

MICHAEL M BUNDESMANN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046322

License Status

EXPIRED

Business

N

First Name

MICHAEL

Middle

M

Last Name

BUNDESMANN

Business Name

MICHAEL M BUNDESMANN

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2006

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

07/17/2007