THOMAS M BONIFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

THOMAS M

Last Name

BONIFER

Suffix

Business Name

THOMAS M BONIFER MD

Original Issue Date

06/09/1993

Effective Date

06/09/1993

Expiration Date

07/31/1999

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006