GREGORY M BULAVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069715

License Status

NOT RENEWED

Business

First Name

GREGORY M

Last Name

BULAVA

Suffix

Business Name

GREGORY M BULAVA MD

Original Issue Date

10/22/1984

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2013010021

Action

Temporary Suspension

Discipline Start Date

11/22/2013

Discipline Reason

for non-therapeutic prescribing of controlled substances.