DONALD A BRONSEMA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027988

License Status

EXPIRED

Business

First Name

DONALD A

Last Name

BRONSEMA

Suffix

Business Name

DONALD A BRONSEMA MD

Original Issue Date

05/08/1992

Effective Date

05/08/1992

Expiration Date

06/21/1995

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006