BONNIE JOYCE VASTOLA-LEWAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049895

License Status

CANCELLED

Business

First Name

BONNIE

Middle

JOYCE

Last Name

VASTOLA-LEWAN

Suffix

Business Name

BONNIE JOYCE VASTOLA-LEWAN DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

BATAVIA

State

Zip

60510

County

KANE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/13/2008