DANIEL ROBERT BUNZOL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059440

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

ROBERT

Last Name

BUNZOL

Business Name

DANIEL ROBERT BUNZOL MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

04/03/2014