JURATE MARIJA BUCHA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048838

License Status

EXPIRED

Business

First Name

JURATE

Middle

MARIJA

Last Name

BUCHA

Suffix

Business Name

JURATE MARIJA BUCHA MD

Original Issue Date

11/19/2004

Effective Date

11/19/2004

Expiration Date

11/18/2007

City

ROCKFORD

State

Zip

61114

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/03/2008