ANTONIO E BULLON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027306

License Status

EXPIRED

Business

First Name

ANTONIO E

Last Name

BULLON

Business Name

ANTONIO E BULLON

Original Issue Date

06/26/1991

Effective Date

06/26/1991

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006