ZACHARY B BULWA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068541

License Status

EXPIRED

Business

Title

First Name

ZACHARY

Middle

Last Name

BULWA

Business Name

ZACHARY B BULWA MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

11/19/2020