LOUIS HERMAN BONUCCI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

LOUIS HERMAN

Last Name

BONUCCI

Suffix

Business Name

LOUIS HERMAN BONUCCI MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

PRINCETON

State

Zip

61356

County

BUREAU

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006