TONY B BORBOA JR - Medical Doctor License in Illinois | # 036111183

TONY B BORBOA JR

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111183

License Status

INACTIVE

Business

N

First Name

TONY

Middle

B

Last Name

BORBOA JR

Business Name

TONY B BORBOA JR

Original Issue Date

04/13/2004

Effective Date

04/13/2004

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006