GLORIA BUENTELLO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062537

License Status

NOT RENEWED

Business

First Name

GLORIA

Last Name

BUENTELLO

Business Name

GLORIA BUENTELLO

Original Issue Date

07/27/1981

Effective Date

05/31/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021