CLAUDIO S BONDULICH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042104

License Status

EXPIRED

Business

First Name

CLAUDIO

Middle

Last Name

BONDULICH

Business Name

CLAUDIO S BONDULICH

Original Issue Date

07/27/2000

Effective Date

07/27/2000

Expiration Date

07/26/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006