MA CLAVEL D BUKIRON 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

MA CLAVEL D

Last Name

BUKIRON

Business Name

MA CLAVEL D BUKIRON

Original Issue Date

10/25/1994

Effective Date

10/25/1994

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006