PHYLLIS N BONAMINIO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104900

License Status

ACTIVE

Business

First Name

PHYLLIS

Middle

Last Name

BONAMINIO

Suffix

Business Name

PHYLLIS N BONAMINIO MD

Original Issue Date

06/05/2001

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2023