YAIMET VIDAL BUCKNOR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051042

License Status

CANCELLED

Business

First Name

YAIMET

Middle

VIDAL

Last Name

BUCKNOR

Suffix

Business Name

YAIMET VIDAL BUCKNOR MD

Original Issue Date

06/25/2006

Effective Date

06/25/2006

Expiration Date

06/24/2009

City

AURORA

State

Zip

60502

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006