CORAZON C BUENVIAJE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045529

License Status

NOT RENEWED

Business

First Name

CORAZON C

Last Name

BUENVIAJE

Suffix

Business Name

CORAZON C BUENVIAJE MD

Original Issue Date

03/27/1972

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014