WILLIAM G BONZELET MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

CANCELLED

Business

First Name

WILLIAM G

Last Name

BONZELET

Suffix

Business Name

WILLIAM G BONZELET MD

Original Issue Date

09/20/1995

Effective Date

06/27/2014

Expiration Date

07/31/2017

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020