ANDREW DAVID BUNTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041737

License Status

NOT RENEWED

Business

First Name

ANDREW DAVID

Last Name

BUNTA

Suffix

Business Name

ANDREW DAVID BUNTA MD

Original Issue Date

07/01/1968

Effective Date

09/01/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023