JOHN RICHARD BORN DO - Medical Doctor License in Illinois | # 125026578

JOHN RICHARD BORN DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026578

License Status

EXPIRED

Business

N

First Name

JOHN RICHARD

Last Name

BORN

Suffix

DO

Business Name

JOHN RICHARD BORN DO

Original Issue Date

05/10/1991

Effective Date

05/10/1991

Expiration Date

06/20/1994

State

IL

Specialty/Qualifier

General Practice

Ever Disciplined

N

LastModifiedDate

09/22/2006