BRIAN PATRICK BONDURANT MD - Medical Doctor License in Illinois | # 125065894

BRIAN PATRICK BONDURANT MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065894

License Status

EXPIRED

Business

N

Title

MD

First Name

BRIAN

Middle

PATRICK

Last Name

BONDURANT

Business Name

BRIAN PATRICK BONDURANT MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/19/2017