ISAAC BONIUK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086003

License Status

INACTIVE

Business

First Name

ISAAC

Last Name

BONIUK

Suffix

Business Name

ISAAC BONIUK MD

Original Issue Date

05/05/1993

Effective Date

05/05/1993

Expiration Date

07/31/2005

City

MT. VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/09/2006