MA CLAVEL D BUKIRON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028911

License Status

EXPIRED

Business

First Name

MA CLAVEL D

Last Name

BUKIRON

Business Name

MA CLAVEL D BUKIRON

Original Issue Date

06/26/1992

Effective Date

06/26/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006