ADRIAN E BIFOM MD - Medical Doctor License in Illinois | # 125079997

ADRIAN E BIFOM MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079997

License Status

CANCELLED

Business

N

Title

MD

First Name

ADRIAN

Middle

E

Last Name

BIFOM

Business Name

ADRIAN E BIFOM MD

Original Issue Date

06/26/2022

Effective Date

06/26/2022

Expiration Date

06/25/2025

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

12/11/2024