LUZMARIE BUONOMO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

LUZMARIE

Last Name

BUONOMO

Suffix

Business Name

LUZMARIE BUONOMO MD

Original Issue Date

05/22/2008

Effective Date

05/22/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011