RICHARD PAUL BONSALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119872

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

PAUL

Last Name

BONSALL

Business Name

RICHARD PAUL BONSALL MD

Original Issue Date

12/19/2007

Effective Date

06/18/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011