MICHAEL L BUENAFE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

MICHAEL L

Last Name

BUENAFE

Business Name

MICHAEL L BUENAFE

Original Issue Date

10/04/1996

Effective Date

10/04/1996

Expiration Date

07/31/1999

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006