JONATHAN GABRIEL BONCHAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063545

License Status

EXPIRED

Business

Title

First Name

JONATHAN

Middle

GABRIEL

Last Name

BONCHAK

Business Name

JONATHAN GABRIEL BONCHAK MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

08/16/2016