PAUL HERMAN BONUCCI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

PAUL

Middle

HERMAN

Last Name

BONUCCI

Suffix

Business Name

PAUL HERMAN BONUCCI MD

Original Issue Date

05/18/1999

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

PRINCETON

State

Zip

61356

County

BUREAU

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023