COLLEEN M BONKOWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102511

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

BONKOWSKI

Suffix

Business Name

COLLEEN M BONKOWSKI MD

Original Issue Date

05/18/2000

Effective Date

05/28/2014

Expiration Date

07/31/2017

City

MILWAUKEE

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017