JEFFREY J BONGIORNO Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000307

License Status

EXPIRED

Business

First Name

JEFFREY J

Last Name

BONGIORNO

Business Name

JEFFREY J BONGIORNO

Original Issue Date

07/09/1996

Effective Date

07/09/1996

Expiration Date

06/30/1997

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

09/25/2006