DANIEL L BOMMELJE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030893

License Status

EXPIRED

Business

First Name

DANIEL L

Last Name

BOMMELJE

Suffix

Business Name

DANIEL L BOMMELJE DO

Original Issue Date

04/28/1994

Effective Date

04/28/1994

Expiration Date

06/20/1997

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006