DOMINICK VINCENT BUFALINO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057658

License Status

CANCELLED

Business

Title

First Name

DOMINICK

Middle

VINCENT

Last Name

BUFALINO

Business Name

DOMINICK VINCENT BUFALINO MD

Original Issue Date

06/22/2010

Effective Date

06/22/2010

Expiration Date

06/21/2013

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/06/2010