MARTHA BONNIE PANKOVICH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042230

License Status

EXPIRED

Business

First Name

MARTHA

Middle

BONNIE

Last Name

PANKOVICH

Suffix

Business Name

MARTHA BONNIE PANKOVICH MD

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006