PAUL HERMAN BONUCCI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100221

License Status

ACTIVE

Business

First Name

PAUL

Middle

HERMAN

Last Name

BONUCCI

Suffix

Business Name

PAUL HERMAN BONUCCI MD

Original Issue Date

05/17/1999

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

04/13/2023