BONNIE LEE WIRFS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017725

License Status

EXPIRED

Business

First Name

BONNIE LEE

Last Name

WIRFS

Business Name

BONNIE LEE WIRFS

Original Issue Date

12/11/1984

Effective Date

12/11/1984

Expiration Date

01/01/1987

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006