DIANE T BONACCORSI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062707

License Status

NOT RENEWED

Business

First Name

DIANE T

Last Name

BONACCORSI

Suffix

Business Name

DIANE T BONACCORSI MD

Original Issue Date

08/03/1981

Effective Date

08/03/1981

Expiration Date

07/31/1984

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006