FERNANDO B BONANNI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150949

License Status

ACTIVE

Business

First Name

FERNANDO

Middle

Last Name

BONANNI

Suffix

Business Name

FERNANDO B BONANNI MD

Original Issue Date

10/04/2019

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

07/06/2023