MARK P BURANOSKY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024890

License Status

EXPIRED

Business

First Name

MARK P

Last Name

BURANOSKY

Business Name

MARK P BURANOSKY

Original Issue Date

05/21/1990

Effective Date

05/21/1990

Expiration Date

06/30/1991

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006