RAUL G BUGNOSEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

RAUL G

Last Name

BUGNOSEN

Business Name

RAUL G BUGNOSEN

Original Issue Date

08/18/1995

Effective Date

08/18/1995

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006