ANNE MARIE GRACE BONAGURO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076853

License Status

CANCELLED

Business

Title

First Name

ANNE MARIE

Middle

GRACE

Last Name

BONAGURO

Business Name

ANNE MARIE GRACE BONAGURO DO

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/29/2020