RAUL G BUGNOSEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030414

License Status

EXPIRED

Business

First Name

RAUL G

Last Name

BUGNOSEN

Business Name

RAUL G BUGNOSEN

Original Issue Date

06/21/1993

Effective Date

06/21/1993

Expiration Date

06/30/1996

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006