GEORGE CONRAD BONERTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

Title

First Name

GEORGE

Middle

CONRAD

Last Name

BONERTZ

Business Name

GEORGE CONRAD BONERTZ MD

Original Issue Date

01/01/1997

Effective Date

04/25/2011

Expiration Date

07/31/2014

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014