JAY KENNETH P BUENAFLOR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108571

License Status

NOT RENEWED

Business

First Name

JAY KENNETH

Middle

Last Name

BUENAFLOR

Business Name

JAY KENNETH P BUENAFLOR

Original Issue Date

02/11/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008