RAUL G BUGNOSEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091386

License Status

NOT RENEWED

Business

First Name

RAUL G

Last Name

BUGNOSEN

Business Name

RAUL G BUGNOSEN

Original Issue Date

07/24/1995

Effective Date

07/24/1995

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006