ANTONIO E BULLON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088117

License Status

NOT RENEWED

Business

First Name

ANTONIO E

Last Name

BULLON

Business Name

ANTONIO E BULLON

Original Issue Date

03/14/1994

Effective Date

03/14/1994

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/30/2014

Case Number

2013011261

Action

Refuse To Renew

Discipline Start Date

03/03/2014

Discipline Reason

for sister state discipline in the state of Massachusetts.