BELLA K BUKOWSKI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036773

License Status

EXPIRED

Business

First Name

BELLA

Middle

Last Name

BUKOWSKI

Business Name

BELLA K BUKOWSKI

Original Issue Date

06/16/1997

Effective Date

06/16/1997

Expiration Date

06/21/2001

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006