JUAN J BONILLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023679

License Status

EXPIRED

Business

First Name

JUAN J

Last Name

BONILLA

Suffix

Business Name

JUAN J BONILLA MD

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006