JASON ANDREW BONOMO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149207

License Status

NOT RENEWED

Business

Title

First Name

JASON

Middle

ANDREW

Last Name

BONOMO

Business Name

JASON ANDREW BONOMO MD

Original Issue Date

04/24/2019

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023