IVAN M BORRELLO - Medical Doctor License in Illinois | # 125028262

IVAN M BORRELLO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028262

License Status

EXPIRED

Business

N

First Name

IVAN

Middle

M

Last Name

BORRELLO

Business Name

IVAN M BORRELLO

Original Issue Date

05/20/1992

Effective Date

05/20/1992

Expiration Date

06/23/1995

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006