ANTHONY J BONIELLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152064

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY

Middle

Last Name

BONIELLO

Business Name

ANTHONY J BONIELLO MD

Original Issue Date

03/04/2020

Effective Date

09/16/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023