KENNETH JOSEPH BONIFACE JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053888

License Status

NOT RENEWED

Business

First Name

KENNETH JOSEPH

Last Name

BONIFACE JR

Suffix

Business Name

KENNETH JOSEPH BONIFACE JR MD

Original Issue Date

11/19/1976

Effective Date

11/19/1976

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006