PAUL HERMAN BONUCCI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035651

License Status

EXPIRED

Business

First Name

PAUL

Middle

HERMAN

Last Name

BONUCCI

Suffix

Business Name

PAUL HERMAN BONUCCI MD

Original Issue Date

04/09/1997

Effective Date

04/09/1997

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006