JEFFREY J BONGIORNO Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

JEFFREY J

Last Name

BONGIORNO

Business Name

JEFFREY J BONGIORNO

Original Issue Date

05/22/1997

Effective Date

05/22/1997

Expiration Date

01/31/2001

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006