CLAUDIO S BONDULICH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108928

License Status

NOT RENEWED

Business

First Name

CLAUDIO

Middle

Last Name

BONDULICH

Business Name

CLAUDIO S BONDULICH

Original Issue Date

04/01/2003

Effective Date

04/01/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/25/2006