MARIO BOVINO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078044

License Status

CANCELLED

Business

Title

First Name

MARIO

Last Name

BOVINO

Business Name

MARIO BOVINO MD

Original Issue Date

06/27/2024

Effective Date

06/27/2024

Expiration Date

06/26/2025

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

06/26/2025