ANGELO PETER BONAVENTURA JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012788

License Status

EXPIRED

Business

First Name

ANGELO PETER

Last Name

BONAVENTURA JR

Suffix

Business Name

ANGELO PETER BONAVENTURA JR MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006