EDWARD J BONGIORNO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029993

License Status

EXPIRED

Business

First Name

EDWARD J

Last Name

BONGIORNO

Suffix

Business Name

EDWARD J BONGIORNO DO

Original Issue Date

05/28/1993

Effective Date

05/28/1993

Expiration Date

06/20/1996

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006