MONA S BUCHSBAUM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026984

License Status

EXPIRED

Business

First Name

MONA

Middle

Last Name

BUCHSBAUM

Business Name

MONA S BUCHSBAUM

Original Issue Date

05/29/1991

Effective Date

05/29/1991

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006