ROLANDO BONILLA HENRIQUEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026016

License Status

EXPIRED

Business

First Name

ROLANDO BONILLA

Last Name

HENRIQUEZ

Suffix

Business Name

ROLANDO BONILLA HENRIQUEZ MD

Original Issue Date

08/17/1990

Effective Date

08/17/1990

Expiration Date

08/16/1993

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006