DONALD A BRONSEMA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089661

License Status

INACTIVE

Business

First Name

DONALD A

Last Name

BRONSEMA

Suffix

Business Name

DONALD A BRONSEMA MD

Original Issue Date

09/15/1994

Effective Date

09/15/1994

Expiration Date

07/31/1996

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006