YAIMET VIDAL BUCKNOR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

First Name

YAIMET

Middle

VIDAL

Last Name

BUCKNOR

Suffix

Business Name

YAIMET VIDAL BUCKNOR MD

Original Issue Date

04/20/2009

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60502

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023