KEMP WESLEY BUNDY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000662

License Status

EXPIRED

Business

First Name

KEMP

Middle

WESLEY

Last Name

BUNDY

Suffix

Business Name

KEMP WESLEY BUNDY MD

Original Issue Date

09/05/2005

Effective Date

09/05/2005

Expiration Date

10/04/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Allergy & Immunology

Ever Disciplined

LastModifiedDate

09/25/2006