JEFFREY J BONGIORNO - Podiatrist License in Illinois | # 016004813

JEFFREY J BONGIORNO

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004813

License Status

NOT RENEWED

Business

N

First Name

JEFFREY J

Last Name

BONGIORNO

Business Name

JEFFREY J BONGIORNO

Original Issue Date

03/05/1997

Effective Date

03/05/1997

Expiration Date

01/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006