LISA M BONWELL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077401

License Status

INACTIVE

Business

First Name

LISA M

Last Name

BONWELL

Suffix

Business Name

LISA M BONWELL MD

Original Issue Date

07/20/1988

Effective Date

07/20/1988

Expiration Date

07/31/1990

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

03/21/2007