STEPHANIE LYNN BONNE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

CANCELLED

Business

First Name

STEPHANIE

Middle

LYNN

Last Name

BONNE

Suffix

Business Name

STEPHANIE LYNN BONNE MD

Original Issue Date

03/06/2009

Effective Date

03/06/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60646

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2011