BASILIO SILVERIO BOLUMEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036029457

License Status

NOT RENEWED

Business

First Name

BASILIO SILVERIO

Last Name

BOLUMEN

Suffix

Business Name

BASILIO SILVERIO BOLUMEN MD

Original Issue Date

05/31/1949

Effective Date

05/31/1949

Expiration Date

07/31/1990

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006