TANYA BULJ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051950

License Status

CANCELLED

Business

Title

First Name

TANYA

Last Name

BULJ

Business Name

TANYA BULJ MD

Original Issue Date

07/13/2007

Effective Date

07/13/2007

Expiration Date

07/12/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

07/13/2007