RAPHAEL Z BOROK - Medical Doctor License in Illinois | # 125028825

RAPHAEL Z BOROK

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028825

License Status

EXPIRED

Business

N

First Name

RAPHAEL Z

Last Name

BOROK

Business Name

RAPHAEL Z BOROK

Original Issue Date

06/23/1992

Effective Date

06/23/1992

Expiration Date

06/30/1995

State

IL

Specialty/Qualifier

Pathology

Ever Disciplined

N

LastModifiedDate

09/22/2006