BONNIE JOYCE VASTOLA-LEWAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123825

License Status

ACTIVE

Business

First Name

BONNIE

Middle

JOYCE

Last Name

VASTOLA-LEWAN

Suffix

Business Name

BONNIE JOYCE VASTOLA-LEWAN DO

Original Issue Date

06/23/2009

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

07/19/2023