MONA R BOMGAARS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

MONA R

Last Name

BOMGAARS

Suffix

Business Name

MONA R BOMGAARS MD

Original Issue Date

11/13/1986

Effective Date

11/13/1986

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006