GREGORY M BULAVA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016310

License Status

EXPIRED

Business

First Name

GREGORY M

Last Name

BULAVA

Suffix

Business Name

GREGORY M BULAVA MD

Original Issue Date

08/01/1983

Effective Date

08/01/1983

Expiration Date

07/01/1985

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006