DACIAN VIOREL BONTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047094

License Status

NOT RENEWED

Business

First Name

DACIAN

Middle

VIOREL

Last Name

BONTA

Suffix

Business Name

DACIAN VIOREL BONTA MD

Original Issue Date

09/10/2003

Effective Date

09/10/2003

Expiration Date

09/09/2006

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/03/2006