JUANITO S BARTOLOME JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042044

License Status

NOT RENEWED

Business

Title

First Name

JUANITO S

Last Name

BARTOLOME

Suffix

Business Name

JUANITO S BARTOLOME JR MD

Original Issue Date

08/01/1968

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017