GREGORY M BULAVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

GREGORY M

Last Name

BULAVA

Suffix

Business Name

GREGORY M BULAVA MD

Original Issue Date

12/13/1984

Effective Date

07/11/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2013010021

Action

Temporary Suspension

Discipline Start Date

11/22/2013

Discipline Reason

for non-therapeutic prescribing of Controlled Substances.