JOSEPH PETER BONANNO DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060109

License Status

INACTIVE

Business

First Name

JOSEPH PETER

Last Name

BONANNO

Suffix

Business Name

JOSEPH PETER BONANNO DO

Original Issue Date

03/04/1980

Effective Date

07/19/2011

Expiration Date

07/31/2014

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014