BRIAN PATRICK BONDURANT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065894

License Status

EXPIRED

Business

Title

First Name

BRIAN

Middle

PATRICK

Last Name

BONDURANT

Business Name

BRIAN PATRICK BONDURANT MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/19/2017