DIANE T BONACCORSI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

DIANE T

Last Name

BONACCORSI

Suffix

Business Name

DIANE T BONACCORSI MD

Original Issue Date

02/08/1982

Effective Date

02/08/1982

Expiration Date

09/01/1982

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006