RICHARD H BONGARD MD Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042005541

License Status

NOT RENEWED

Business

Business Name

RICHARD H BONGARD MD

Original Issue Date

02/23/1984

Effective Date

02/23/1984

Expiration Date

01/01/1996

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006