DIANE T BONACCORSI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

DIANE T

Last Name

BONACCORSI

Suffix

Business Name

DIANE T BONACCORSI MD

Original Issue Date

08/17/1981

Effective Date

08/17/1981

Expiration Date

07/31/1984

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006