RONALD BLAZEY BUKOWY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052366

License Status

NOT RENEWED

Business

First Name

RONALD BLAZEY

Last Name

BUKOWY

Suffix

Business Name

RONALD BLAZEY BUKOWY MD

Original Issue Date

02/13/1976

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

01/14/2021