RICHARD H BONGARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056637

License Status

NOT RENEWED

Business

First Name

RICHARD H

Last Name

BONGARD

Suffix

Business Name

RICHARD H BONGARD MD

Original Issue Date

04/17/1978

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021