FEDOR F BANUCHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036730

License Status

NOT RENEWED

Business

First Name

FEDOR F

Last Name

BANUCHI

Suffix

Business Name

FEDOR F BANUCHI MD

Original Issue Date

09/02/1960

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008