LINDA S BONVISSUTO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

CANCELLED

Business

First Name

LINDA S

Last Name

BONVISSUTO

Suffix

Business Name

LINDA S BONVISSUTO MD

Original Issue Date

01/07/1992

Effective Date

01/07/1992

Expiration Date

07/31/2005

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011