BELLA K BUKOWSKI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104417

License Status

NOT RENEWED

Business

First Name

BELLA

Middle

Last Name

BUKOWSKI

Business Name

BELLA K BUKOWSKI

Original Issue Date

03/29/2001

Effective Date

03/29/2001

Expiration Date

07/31/2005

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006